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Chapter 1
Test Bank for Maternity and Pediatric Nursing, 5th Edition by Susan Ricci,
Terri Kyle, Susan Carman
Multiple Choices
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 .rc ionmc/ t ieps tles: 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 d ise 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 oarbyi r b.. cCo ma/nt ecs ter 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
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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 issuea ob i rfb .icno fmo/ tre m 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 oapb ier br. caotmi v/ t ees t 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 ecs tedure 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 nda gb i reb t. ctoi mn / 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 pa rb oi rbc.ceo dm u/ terset
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 ca lbiier bn. c to mu/ tne sdt 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 vr ba. c iolma/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
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Integrated Process: Nursing Process
Reference: p. 45
5. A 9-month-old with glaucoma requires surgery. The i na bfi ar b 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 ba boi rtbh. 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 irbe.cnotm /otefs tCare Integrated
Process: Nursing Process
Reference: p. 47
6. Which statement made by a nursing student would b ea bsi r tb . cionmd/ tiecsat 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 c aarbei r bd. ceo mc /itse isot 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 bni r bs . hc oi mp / st e s wt 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 aob fi r bh. ceo ma/lt te hs t
during the 21st century ?
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,https://www.stuvia.com/user/docstudent96 Test Bank for Maternity and Pediatric Nursing https://www.stuvia.com/user/docstudent96
Chapter 1
Test Bank for Maternity and Pediatric Nursing, 5th Edition by Susan Ricci,
Terri Kyle, Susan Carman
Multiple Choices
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 .rc ionmc/ t ieps tles: 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 d ise 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 oarbyi r b.. cCo ma/nt ecs ter 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
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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 issuea ob i rfb .icno fmo/ tre m 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 oapb ier br. caotmi v/ t ees t 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 ecs tedure 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 nda gb i reb t. ctoi mn / 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 pa rb oi rbc.ceo dm u/ terset
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 ca lbiier bn. c to mu/ tne sdt 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 vr ba. c iolma/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
https://www.stuvia.com/user/docstudent96 4/3/2026, 1:16:47 PM https://www.stuvia.com/user/docstudent96
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Integrated Process: Nursing Process
Reference: p. 45
5. A 9-month-old with glaucoma requires surgery. The i na bfi ar b 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 ba boi rtbh. 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 irbe.cnotm /otefs tCare Integrated
Process: Nursing Process
Reference: p. 47
6. Which statement made by a nursing student would b ea bsi r tb . cionmd/ tiecsat 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 c aarbei r bd. ceo mc /itse isot 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 bni r bs . hc oi mp / st e s wt 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 aob fi r bh. ceo ma/lt te hs t
during the 21st century ?
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