Chapter 1: Introduction to Maternity and Pediatric Nursing
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Multiple Choice
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1. T A patient is admitted to the labor and delivery unit, and a plan of care based on that
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patient’s needs is developed by which member of the health-care team?
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1) Licensed practical nurse (LPN)/Licensed vocational nurse (LVN)
2) Registered nurse (RN)
3) Nurse practitioner
4) Certified nurse midwife
T 2. How does a nurse practitioner’s role differ from that of a certified nurse midwife with
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regard to maternity care?
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1) The nurse practitioner does not usually deliver babies but cares for women before
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and after delivery.
T T
2) The certified nurse midwife cannot prescribe medications, but a nurse practitioner
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does have prescribing privileges.
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3) The certified nurse midwife is hired by the hospital, whereas a nurse practitioner
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practices independently and does not have hospital privileges.
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4) The certified nurse midwife and the nurse practitioner have very similar roles with
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little difference between the two.
T T T T
T 3. The provider explains the need for an amniocentesis, but the patient declines the
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procedure. The nurse supports the patient’s right to make this decision, demonstrating an
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understanding of which ethical principle? T T T T
1) Autonomy
,2) Beneficence
3) Nonmaleficence
4) Justice
T 4. The nurse joins a community outreach program to promote vaccination of children,
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demonstrating which ethical principle?
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1) Autonomy
2) Beneficence
3) Nonmaleficence
4) Justice
T 5. The nurse working in an acute care facility makes it a point to never look at the
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declaration page showing the patient’s insurance or lack of insurance because of a belief that all
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patients should be treated equally. This demonstrates which ethical principle?
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1) Autonomy
2) Beneficence
3) Nonmaleficence
4) Justice
T 6. A patient asks the student nurse whether a medication is safe to take during
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pregnancy. The student thinks it is an approved medication during pregnancy. Which is the
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student’s best response?
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1) “I’m pretty sure it is a safe medication.”
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,2) “I’m not qualified to answer that question.”
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3) “I will ask your obstetric provider.”
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4) “I really don’t know.”
T T T
T 7. T Which term describes assisting a family to feel supported, listened to, and competent?
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1) Enable
2) Empathy
3) Egocentric
4) Empowerment
8. Which action should the nurse implement in order to apply the principles of family-
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centered care in the hospital environment?
T T T T T
1) Implementing strict visitation policy for siblings T T T T T
2) Allowing a child to “cry it out” when parents leave the bedside
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3) Encouraging parents to continue bedtime routines, such as reading a story
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4) Discouraging cultural foods because they cannot be provided by the dietary
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department
T 9. Which anatomical difference between adults and children places a pediatric patient at
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risk for insensible losses?
T T T
1) Large body surface area T T T
2) Obligatory nose breathing T T
, 3) Disproportionate head size T T
4) Poorly developed intercostal chest muscles
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T10. Which pediatric anatomical factor increases the risk for respiratory failure when care
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is provided to a child?
T T T T
1) Smaller airway T
2) Obligatory nose breathing T T
3) Large posterior head bone occiput
T T T T
4) Poorly developed intercostal chest muscles
T T T T
T11. Which pediatric anatomical factor increases the risk for airway occlusion when care is
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provided to a child?
T T T
1) A large posterior head bone occiput
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2) An increase in total body surface area
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3) A decrease in circulatory blood volume
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4) Intercostal chest muscles that are poorly developed
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T12. The nurse is preparing an 8-year-old child for a procedure. Which statement is true of
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assent?
1) Feedback from the child is part of the agreement or assent.
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2) All children 7 or older can participate in assent.
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3) Assent only applies to emancipated children.
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4) The health-care team does not need to include the parent or guardian in assent.
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Multiple Choice
T
1. T A patient is admitted to the labor and delivery unit, and a plan of care based on that
T T T T T T T T T T T T T T T T T T
patient’s needs is developed by which member of the health-care team?
T T T T T T T T T T
1) Licensed practical nurse (LPN)/Licensed vocational nurse (LVN)
2) Registered nurse (RN)
3) Nurse practitioner
4) Certified nurse midwife
T 2. How does a nurse practitioner’s role differ from that of a certified nurse midwife with
T T T T T T T T T T T T T T T T
regard to maternity care?
T T T
1) The nurse practitioner does not usually deliver babies but cares for women before
T T T T T T T T T T T T T
and after delivery.
T T
2) The certified nurse midwife cannot prescribe medications, but a nurse practitioner
T T T T T T T T T T T
does have prescribing privileges.
T T T
3) The certified nurse midwife is hired by the hospital, whereas a nurse practitioner
T T T T T T T T T T T T T
practices independently and does not have hospital privileges.
T T T T T T T
4) The certified nurse midwife and the nurse practitioner have very similar roles with
T T T T T T T T T T T T T
little difference between the two.
T T T T
T 3. The provider explains the need for an amniocentesis, but the patient declines the
T T T T T T T T T T T T T T
procedure. The nurse supports the patient’s right to make this decision, demonstrating an
T T T T T T T T T T T T T
understanding of which ethical principle? T T T T
1) Autonomy
,2) Beneficence
3) Nonmaleficence
4) Justice
T 4. The nurse joins a community outreach program to promote vaccination of children,
T T T T T T T T T T T T T
demonstrating which ethical principle?
T T T
1) Autonomy
2) Beneficence
3) Nonmaleficence
4) Justice
T 5. The nurse working in an acute care facility makes it a point to never look at the
T T T T T T T T T T T T T T T T T T
declaration page showing the patient’s insurance or lack of insurance because of a belief that all
T T T T T T T T T T T T T T T T
patients should be treated equally. This demonstrates which ethical principle?
T T T T T T T T T
1) Autonomy
2) Beneficence
3) Nonmaleficence
4) Justice
T 6. A patient asks the student nurse whether a medication is safe to take during
T T T T T T T T T T T T T T T
pregnancy. The student thinks it is an approved medication during pregnancy. Which is the
T T T T T T T T T T T T T T
student’s best response?
T T
1) “I’m pretty sure it is a safe medication.”
T T T T T T T
,2) “I’m not qualified to answer that question.”
T T T T T T
3) “I will ask your obstetric provider.”
T T T T T
4) “I really don’t know.”
T T T
T 7. T Which term describes assisting a family to feel supported, listened to, and competent?
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1) Enable
2) Empathy
3) Egocentric
4) Empowerment
8. Which action should the nurse implement in order to apply the principles of family-
T T T T T T T T T T T T T T T
centered care in the hospital environment?
T T T T T
1) Implementing strict visitation policy for siblings T T T T T
2) Allowing a child to “cry it out” when parents leave the bedside
T T T T T T T T T T T
3) Encouraging parents to continue bedtime routines, such as reading a story
T T T T T T T T T T
4) Discouraging cultural foods because they cannot be provided by the dietary
T T T T T T T T T T T
department
T 9. Which anatomical difference between adults and children places a pediatric patient at
T T T T T T T T T T T T T
risk for insensible losses?
T T T
1) Large body surface area T T T
2) Obligatory nose breathing T T
, 3) Disproportionate head size T T
4) Poorly developed intercostal chest muscles
T T T T
T10. Which pediatric anatomical factor increases the risk for respiratory failure when care
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is provided to a child?
T T T T
1) Smaller airway T
2) Obligatory nose breathing T T
3) Large posterior head bone occiput
T T T T
4) Poorly developed intercostal chest muscles
T T T T
T11. Which pediatric anatomical factor increases the risk for airway occlusion when care is
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provided to a child?
T T T
1) A large posterior head bone occiput
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2) An increase in total body surface area
T T T T T T
3) A decrease in circulatory blood volume
T T T T T
4) Intercostal chest muscles that are poorly developed
T T T T T T
T12. The nurse is preparing an 8-year-old child for a procedure. Which statement is true of
T T T T T T T T T T T T T T T T
assent?
1) Feedback from the child is part of the agreement or assent.
T T T T T T T T T T
2) All children 7 or older can participate in assent.
T T T T T T T T
3) Assent only applies to emancipated children.
T T T T T
4) The health-care team does not need to include the parent or guardian in assent.
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