Test Bank – for Maternity and Pediatric Nursing 5th
edition, North American Edition by SUSAN RICCI,
THERESA KYLE, SUSAN CARMAN, All Chapters 1-51
,Table of contents
Chapter 1 Perspectives on Maternal and Child Health Care
Chapter 2 Caring for Women and Children
Chapter 3 Anatomy and Physiology of the Reproductive Systems
Chapter 4 Common Gynecologic Issues
Chapter 5 Sexually Transmitted Infections
Chapter 6 Disorders of the Breasts
Chapter 7 Benign Disorders of the Female Reproductive Tract
Chapter 8 Cancers of the Female Reproductive Tract
Chapter 9 Violence and Abuse
Chapter 10 Fetal Development and Genetics
Chapter 11 Maternal Adaptation During Pregnancy
Chapter 12 Nursing Management During Pregnancy
Chapter 13 Labor and Birth Process
Chapter 14 Nursing Management During Labor and Birth
Chapter 15 Postpartum Adaptations
Chapter 16 Nursing Management During the Postpartum Period
Chapter 17 Newborn Transitioning
Chapter 18 Nursing Management of the Newborn
Chapter 19 Nursing Management of Pregnancy at Risk: Pregnancy-
Related Complications
Chapter 20 Nursing Management of the Pregnancy at Risk: Selected
Health Conditions and Vulnerable Populations
Chapter 21 Nursing Management of Labor and Birth at Risk
2
,Chapter 22 Nursing Management of the Postpartum Woman at Risk
Chapter 23 Nursing Care of the Newborn with Special Needs
Chapter 24 Nursing Management of the Newborn at Risk: Acquired
and Congenital Newborn Conditions
Chapter 25 Growth and Development of the Newborn and Infant
Chapter 26 Growth and Development of the Toddler
Chapter 27 Growth and Development of the Preschooler
Chapter 28 Growth and Development of the School-Age Child
Chapter 29 Growth and Development of the Adolescent
Chapter 30 Atraumatic Care of Children and Families
Chapter 31 Health Supervision
Chapter 32 Health Assessment of Children
Chapter 33 Caring for Children in Diverse Settings
Chapter 34 Caring for the Special Needs Child
Chapter 35 Key Pediatric Nursing Interventions
Chapter 36 Nursing Care of the Child with an Alteration in Comfort-
Pain Assessment and Management
Chapter 37 Nursing Care of the Child with an Infection
Chapter 38 Nursing Care of the Child with an Alteration in
Intracranial Regulation/Neurologic Disorder
Chapter 39 Nursing Care of the Child with an Alteration in Sensory
Perception/Disorder of the Eyes or Ears
Chapter 40 Nursing Care of the Child with an Alteration in Gas
Exchange/Respiratory Disorder
Chapter 41 Nursing Care of the Child with an Alteration in
Perfusion/Cardiovascular Disorder
3
,Chapter 42 Nursing Care of the Child with an Alteration in Bowel
Elimination/Gastrointestinal Disorder
Chapter 43 Nursing Care of the Child with an Alteration in Urinary
Elimination/Genitourinary Disorder
Chapter 44 Nursing Care of the Child with an Alteration in
Mobility/Neuromuscular or Musculoskeletal Disorder
Chapter 45 Nursing Care of the Child with an Alteration in Tissue
Integrity/Integumentary Disorder
Chapter 46 Nursing Care of the Child with an Alteration in Cellular
Regulation/Hematologic or Neoplastic Disorder
Chapter 47 Nursing Care of the Child with an Alteration in Immunity
or Immunologic Disorder
Chapter 48 Nursing Care of the Child with an Alteration in
Metabolism/Endocrine Disorder
Chapter 49 Nursing Care of the Child with an Alteration in Genetics
Chapter 50 Nursing Care of the Child with an Alteration in Behavior,
Cognition, or Development
Chapter 51 Nursing Care During a Pediatric Emergency
4
,Maternity and Pediatric Nursing 5th Edition
Ricci Kyle Carman Test Bank
Chapter 1
1. When integrating the principles of family-centered care into the birthing
process, the nurse would base care upon which belief?
A. Birth is viewed as a medical event.
B. Families are unable to make informed choices due to stress.
C. Birth results in changes in relationships.
D. Families require little information to make appropriate decisions for care.
Answer: C
Rationale: Family-centered care is based on the followinagb i rpb.rcionmc/t iepstles: Birth affects
the entire family, and relationships will change; birth is viewed as a normal, healthy
event in the life of the family; and families are capable of making decisions about
their own care if given adequate information and professional support.
Question format: Multiple Choice
Chapter 1: Perspectives on Maternal and Child Health Care
Cognitive Level: Apply
Client Needs: Health Promotion and Maintenance
Integrated Process: Teaching/Learning
Integrated Process: Caring
Reference: p. 7
2. The nurse is working with a group of community health members to develop
a plan to address the special health needs of women. The group would design
educational programs to address which priority condition?
A. Smoking
B. Heart disease
C. Diabetes
D. Cancer
Answer: B
Rationale: The group needs to address cardiovascular dise as e, the number one cause
of death in women regardless of racial or ethnic group. Smoking is related to heart
disease and the development of cancer. However, heart disease and cancer
can occur in any woman regardless of her smoking hist oarbyir b..cComa/nt ecster is the second
leading cause of death, with women having a one in three lifetime risk of
developing cancer. Diabetes is another important health condition that can affect
women. However, it is not the major health problem that heart disease is.
Question format: Multiple Choice
Chapter 1: Perspectives on Maternal and Child Health Care
Cognitive Level: Apply
Client Needs: Health Promotion and Maintenance
Integrated Process: Nursing Process
,Reference: p. 12
3. A nurse is conducting an orientation program for a group of newly hired nurses.
As part of the program, the nurse is reviewing the issue a ob i rfb .icnofmo/trem s t ed consent. The
nurse determines that the teaching was effective when the group identifies which
situation as a violation of informed consent?
A. Performing a procedure on a 15-year-old without parental consent
B. Serving as a witness to the signature process on an oapbi er br. caotmiv/ t eest permit
C. Asking whether the client understands what she is signing following receiving
education
D.Getting verbal consent over the phone for an emergeanbicrby.c opmr/ot ecstedure from the
spouse of a unconscious woman
Answer: A
Rationale: In most states, only clients over the age of 18 can legally provide
consent for health care. Serving as a witness to the signature process, asking
whether the client understands what she is signing, a nd a gb i rebt.ctoimn/gt e svt erbal consent over
the phone for emergency procedures are all key to informed consent and are not
violations.
Question format: Multiple Choice
Chapter 1: Perspectives on Maternal and Child Health Caabr i er b
Cognitive Level: Analyze
Client Needs: Safe, Effective Care Environment: Management of Care
Integrated Process: Nursing Process
Reference: p. 45
4. A pregnant woman is to undergo an invasive procedure to evaluate the status of
her fetus. To ensure informed consent, which action wouabldirb.bcoem/ttehset priority
responsibility of the nurse providing care to this woman?
A. Asking relevant questions to determine the client's understanding
B. Providing a detailed description of the risks and benefits of the procedure
C. Explaining the exact steps that will occur during the parbo i r bc.ceod
mu/t erset
D. Offering suggestions for alternative options for treatment
Answer: A
Rationale: The nurse's responsibilities related to informed consent include: Ensuring
the consent form is completed with signatures from the client; serving as a witness
to the signature process; and determining whether the calbii erbn.c to mu/tnesdt erstands what she
is signing by asking her pertinent questions. The physician, advanced practice
nurse, or midwife is responsible for informing the client about the procedure and
obtaining consent by providing a detailed description of the procedure or treatment,
its potential risks and benefits, and alternative methods a ab i v
r ba
. c iolm
a/bt elset .
Question format: Multiple Choice
Chapter 1: Perspectives on Maternal and Child Health Care
Cognitive Level: Apply
Client Needs: Safe, Effective Care Environment: Management of Care
, Integrated Process: Nursing Process
Reference: p. 45
5. A 9-month-old with glaucoma requires surgery. The i nabfi arb n. c to'ms/t epsat
rents are divorced. To obtain informed consent, which action would be
most appropriate?
A. Contacting the father for informed consent
B. Obtaining informed consent from the mother
C. Seeking a court ruling on the course of care
D. Determining sole or joint custody by the parents
Answer: D
Rationale: The most appropriate action would be to determine legal custody by
court decree. If the parents have joint custody, then either parent may give
consent, but it is always best to have consent given by baboirtbh.c opma/t erset nts. The parent
with only physical custody may give consent for emergency care. The last resort is
getting a court ruling; usually this is not necessary unless the parents disagree
about the care of the child.
Question format: Multiple Choice
Chapter 1: Perspectives on Maternal and Child Health Care
Cognitive Level: Apply
Client Needs: Safe, Effective Care Environment: Manageam b ir be.cnotm/otefst Care
Integrated Process: Nursing Process
Reference: p. 47
6. Which statement made by a nursing student would be a bsir tb. cionmd/ tiecs a
t te
that her education on family-centered care was fully understood?
A. "Childbirth affects the entire family, and relationships will change."
B."Families are usually not capable of making health caarbei r bd.ceomc/itse is ot ns for themselves,
especially in stressful situations."
C. "Mothers are the only family member affected by childbirth."
D. "Since childbirth is a medical procedure, it may affect everyone."
Answer: A
Rationale: Childbirth affects the entire family, and relati oa bnir bs.hc oimp/st e swt ill change.
Childbirth is viewed as a normal life event, not a medical procedure. Families are
very capable of making health care decisions about their own care with proper
information and support.
Question format: Multiple Choice
Chapter 1: Perspectives on Maternal and Child Health Care
Cognitive Level: Apply
Client Needs: Psychosocial Integrity
Integrated Process: Nursing Process
Reference: p. 15
7. Which aspect of client wellness has not been a focus aobfir bh.ceoma/lt tehs t
during the 21st century ?
edition, North American Edition by SUSAN RICCI,
THERESA KYLE, SUSAN CARMAN, All Chapters 1-51
,Table of contents
Chapter 1 Perspectives on Maternal and Child Health Care
Chapter 2 Caring for Women and Children
Chapter 3 Anatomy and Physiology of the Reproductive Systems
Chapter 4 Common Gynecologic Issues
Chapter 5 Sexually Transmitted Infections
Chapter 6 Disorders of the Breasts
Chapter 7 Benign Disorders of the Female Reproductive Tract
Chapter 8 Cancers of the Female Reproductive Tract
Chapter 9 Violence and Abuse
Chapter 10 Fetal Development and Genetics
Chapter 11 Maternal Adaptation During Pregnancy
Chapter 12 Nursing Management During Pregnancy
Chapter 13 Labor and Birth Process
Chapter 14 Nursing Management During Labor and Birth
Chapter 15 Postpartum Adaptations
Chapter 16 Nursing Management During the Postpartum Period
Chapter 17 Newborn Transitioning
Chapter 18 Nursing Management of the Newborn
Chapter 19 Nursing Management of Pregnancy at Risk: Pregnancy-
Related Complications
Chapter 20 Nursing Management of the Pregnancy at Risk: Selected
Health Conditions and Vulnerable Populations
Chapter 21 Nursing Management of Labor and Birth at Risk
2
,Chapter 22 Nursing Management of the Postpartum Woman at Risk
Chapter 23 Nursing Care of the Newborn with Special Needs
Chapter 24 Nursing Management of the Newborn at Risk: Acquired
and Congenital Newborn Conditions
Chapter 25 Growth and Development of the Newborn and Infant
Chapter 26 Growth and Development of the Toddler
Chapter 27 Growth and Development of the Preschooler
Chapter 28 Growth and Development of the School-Age Child
Chapter 29 Growth and Development of the Adolescent
Chapter 30 Atraumatic Care of Children and Families
Chapter 31 Health Supervision
Chapter 32 Health Assessment of Children
Chapter 33 Caring for Children in Diverse Settings
Chapter 34 Caring for the Special Needs Child
Chapter 35 Key Pediatric Nursing Interventions
Chapter 36 Nursing Care of the Child with an Alteration in Comfort-
Pain Assessment and Management
Chapter 37 Nursing Care of the Child with an Infection
Chapter 38 Nursing Care of the Child with an Alteration in
Intracranial Regulation/Neurologic Disorder
Chapter 39 Nursing Care of the Child with an Alteration in Sensory
Perception/Disorder of the Eyes or Ears
Chapter 40 Nursing Care of the Child with an Alteration in Gas
Exchange/Respiratory Disorder
Chapter 41 Nursing Care of the Child with an Alteration in
Perfusion/Cardiovascular Disorder
3
,Chapter 42 Nursing Care of the Child with an Alteration in Bowel
Elimination/Gastrointestinal Disorder
Chapter 43 Nursing Care of the Child with an Alteration in Urinary
Elimination/Genitourinary Disorder
Chapter 44 Nursing Care of the Child with an Alteration in
Mobility/Neuromuscular or Musculoskeletal Disorder
Chapter 45 Nursing Care of the Child with an Alteration in Tissue
Integrity/Integumentary Disorder
Chapter 46 Nursing Care of the Child with an Alteration in Cellular
Regulation/Hematologic or Neoplastic Disorder
Chapter 47 Nursing Care of the Child with an Alteration in Immunity
or Immunologic Disorder
Chapter 48 Nursing Care of the Child with an Alteration in
Metabolism/Endocrine Disorder
Chapter 49 Nursing Care of the Child with an Alteration in Genetics
Chapter 50 Nursing Care of the Child with an Alteration in Behavior,
Cognition, or Development
Chapter 51 Nursing Care During a Pediatric Emergency
4
,Maternity and Pediatric Nursing 5th Edition
Ricci Kyle Carman Test Bank
Chapter 1
1. When integrating the principles of family-centered care into the birthing
process, the nurse would base care upon which belief?
A. Birth is viewed as a medical event.
B. Families are unable to make informed choices due to stress.
C. Birth results in changes in relationships.
D. Families require little information to make appropriate decisions for care.
Answer: C
Rationale: Family-centered care is based on the followinagb i rpb.rcionmc/t iepstles: Birth affects
the entire family, and relationships will change; birth is viewed as a normal, healthy
event in the life of the family; and families are capable of making decisions about
their own care if given adequate information and professional support.
Question format: Multiple Choice
Chapter 1: Perspectives on Maternal and Child Health Care
Cognitive Level: Apply
Client Needs: Health Promotion and Maintenance
Integrated Process: Teaching/Learning
Integrated Process: Caring
Reference: p. 7
2. The nurse is working with a group of community health members to develop
a plan to address the special health needs of women. The group would design
educational programs to address which priority condition?
A. Smoking
B. Heart disease
C. Diabetes
D. Cancer
Answer: B
Rationale: The group needs to address cardiovascular dise as e, the number one cause
of death in women regardless of racial or ethnic group. Smoking is related to heart
disease and the development of cancer. However, heart disease and cancer
can occur in any woman regardless of her smoking hist oarbyir b..cComa/nt ecster is the second
leading cause of death, with women having a one in three lifetime risk of
developing cancer. Diabetes is another important health condition that can affect
women. However, it is not the major health problem that heart disease is.
Question format: Multiple Choice
Chapter 1: Perspectives on Maternal and Child Health Care
Cognitive Level: Apply
Client Needs: Health Promotion and Maintenance
Integrated Process: Nursing Process
,Reference: p. 12
3. A nurse is conducting an orientation program for a group of newly hired nurses.
As part of the program, the nurse is reviewing the issue a ob i rfb .icnofmo/trem s t ed consent. The
nurse determines that the teaching was effective when the group identifies which
situation as a violation of informed consent?
A. Performing a procedure on a 15-year-old without parental consent
B. Serving as a witness to the signature process on an oapbi er br. caotmiv/ t eest permit
C. Asking whether the client understands what she is signing following receiving
education
D.Getting verbal consent over the phone for an emergeanbicrby.c opmr/ot ecstedure from the
spouse of a unconscious woman
Answer: A
Rationale: In most states, only clients over the age of 18 can legally provide
consent for health care. Serving as a witness to the signature process, asking
whether the client understands what she is signing, a nd a gb i rebt.ctoimn/gt e svt erbal consent over
the phone for emergency procedures are all key to informed consent and are not
violations.
Question format: Multiple Choice
Chapter 1: Perspectives on Maternal and Child Health Caabr i er b
Cognitive Level: Analyze
Client Needs: Safe, Effective Care Environment: Management of Care
Integrated Process: Nursing Process
Reference: p. 45
4. A pregnant woman is to undergo an invasive procedure to evaluate the status of
her fetus. To ensure informed consent, which action wouabldirb.bcoem/ttehset priority
responsibility of the nurse providing care to this woman?
A. Asking relevant questions to determine the client's understanding
B. Providing a detailed description of the risks and benefits of the procedure
C. Explaining the exact steps that will occur during the parbo i r bc.ceod
mu/t erset
D. Offering suggestions for alternative options for treatment
Answer: A
Rationale: The nurse's responsibilities related to informed consent include: Ensuring
the consent form is completed with signatures from the client; serving as a witness
to the signature process; and determining whether the calbii erbn.c to mu/tnesdt erstands what she
is signing by asking her pertinent questions. The physician, advanced practice
nurse, or midwife is responsible for informing the client about the procedure and
obtaining consent by providing a detailed description of the procedure or treatment,
its potential risks and benefits, and alternative methods a ab i v
r ba
. c iolm
a/bt elset .
Question format: Multiple Choice
Chapter 1: Perspectives on Maternal and Child Health Care
Cognitive Level: Apply
Client Needs: Safe, Effective Care Environment: Management of Care
, Integrated Process: Nursing Process
Reference: p. 45
5. A 9-month-old with glaucoma requires surgery. The i nabfi arb n. c to'ms/t epsat
rents are divorced. To obtain informed consent, which action would be
most appropriate?
A. Contacting the father for informed consent
B. Obtaining informed consent from the mother
C. Seeking a court ruling on the course of care
D. Determining sole or joint custody by the parents
Answer: D
Rationale: The most appropriate action would be to determine legal custody by
court decree. If the parents have joint custody, then either parent may give
consent, but it is always best to have consent given by baboirtbh.c opma/t erset nts. The parent
with only physical custody may give consent for emergency care. The last resort is
getting a court ruling; usually this is not necessary unless the parents disagree
about the care of the child.
Question format: Multiple Choice
Chapter 1: Perspectives on Maternal and Child Health Care
Cognitive Level: Apply
Client Needs: Safe, Effective Care Environment: Manageam b ir be.cnotm/otefst Care
Integrated Process: Nursing Process
Reference: p. 47
6. Which statement made by a nursing student would be a bsir tb. cionmd/ tiecs a
t te
that her education on family-centered care was fully understood?
A. "Childbirth affects the entire family, and relationships will change."
B."Families are usually not capable of making health caarbei r bd.ceomc/itse is ot ns for themselves,
especially in stressful situations."
C. "Mothers are the only family member affected by childbirth."
D. "Since childbirth is a medical procedure, it may affect everyone."
Answer: A
Rationale: Childbirth affects the entire family, and relati oa bnir bs.hc oimp/st e swt ill change.
Childbirth is viewed as a normal life event, not a medical procedure. Families are
very capable of making health care decisions about their own care with proper
information and support.
Question format: Multiple Choice
Chapter 1: Perspectives on Maternal and Child Health Care
Cognitive Level: Apply
Client Needs: Psychosocial Integrity
Integrated Process: Nursing Process
Reference: p. 15
7. Which aspect of client wellness has not been a focus aobfir bh.ceoma/lt tehs t
during the 21st century ?
