MATERNAL CHILD NURSING 5TH EDITIONTEST-BANK 2026-
2027 COMMUNICATING WITH CHILDREN AND FAMILIES
MCKINNEY: EVOLVE RESOURCES FOR MATERNAL-CHILD
NURSING, 5TH EDITION
Chapter 01: Foundations of Maternity, Women’s Health, and Child
HealthNursing McKinney: Evolve Resources for Maternal-Child
Nursing, 5th Edition
MULTIPLE CHOICE
• Which factor significantly contributed to the shift from home births
to hospitalbirths in the early 20th century?
a. Puerperal sepsis was identified as a risk factor in labor and delivery.
b. Forceps were developed to facilitate difficult births.
c. The importance of early parental-infant contact was identified.
d. Technologic developments became available to physicians.
ANS: D
Technologic developments were available to physicians, not lay
midwives. So in-hospital births increased in order to take
advantage of these advancements.
Puerperal sepsis has been a known problem for generations. In the late
19th century,Semmelweis discovered how it could be prevented with
improved hygienic practices.The development of forceps is an example
of a technology advance made in the early 20th century but is not the
only reason birthplaces moved. Unlike home births, early hospital births
hindered bonding between parents and their infants.
PTS: 1 DIF: Cognitive Level:
, Knowledge/Remembering REF: p. 1 OBJ:
Integrated Process: Teaching-Learning MSC:
Client Needs: Safe and Effective Care
Environment
• 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 relationto standards of care?
a. Negligent: the nurse failed to assess the woman for
possible complications b. Negligent: because the nurse
medicated the woman
c. Not negligent: the woman had signed a waiver concerning
the use ofside rails d. Not negligent: the woman did not
inform the nurse of her symptoms as soon as they occurred
ANS: A
.
There are four elements to malpractice, which is negligence in the
performance of professional duties: duty, breach of duty, damage, and
proximate cause. The nurse was negligent because she or he did not
perform any assessments, which is the first step of the nursing process
and is a standard of care. By not assessing the patient, the nurse did
not meet established standards of care, and thus is guilty of
professional negligence, or malpractice.
, PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 16 OBJ: Nursing Process: Evaluation
MSC: Client Needs: Safe and Effective Care Environment
• Which patient situation fails to meet the first requirement
of informedconsent? a. The patient does not understand
the physician’s explanations.
b. The physician gives the patient only a partial list of
possible sideeffects and complications.
c. The patient is confused and disoriented.
d. The patient signs a consent form because her husband tells her to.
ANS: C
The first requirement of informed consent is that the patient must be
competent tomake decisions about health care. Full disclosure of
information is an important element of the consent, but first the patient
has to be competent to sign.
Understanding is an important element of the consent, but first the patient
has to
, be competent to sign. Voluntary consent is an important element of
the consent,but first the patient has to be competent to sign.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 17 OBJ: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment
• Which situation reflects a potential ethical dilemma for the nurse?
a. A nurse administers analgesics to a patient with cancer as
often as theprovider’s order allows.
b. A neonatal nurse provides nourishment and care to a
newborn whohas a defect that is incompatible with life.
c. A labor nurse, whose religion opposes abortion, is asked to
assist with anelective abortion.
d. A postpartum nurse provides information about
adoption to a newmother who feels she cannot
adequately care for her infant.
ANS: C
A dilemma exists in this situation because the nurse is being asked to
assist with aprocedure that she or he believes is morally wrong. The
other situations do not contain elements of conflict for the nurse.
PTS: 1 DIF: Cognitive Level: Comprehension/Understanding
REF: p. 11 OBJ: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment
• When planning a parenting class, the nurse should explain that the
leading causeof death in children 1 to 4 years of age in the United
States is
a. premature birth.
2027 COMMUNICATING WITH CHILDREN AND FAMILIES
MCKINNEY: EVOLVE RESOURCES FOR MATERNAL-CHILD
NURSING, 5TH EDITION
Chapter 01: Foundations of Maternity, Women’s Health, and Child
HealthNursing McKinney: Evolve Resources for Maternal-Child
Nursing, 5th Edition
MULTIPLE CHOICE
• Which factor significantly contributed to the shift from home births
to hospitalbirths in the early 20th century?
a. Puerperal sepsis was identified as a risk factor in labor and delivery.
b. Forceps were developed to facilitate difficult births.
c. The importance of early parental-infant contact was identified.
d. Technologic developments became available to physicians.
ANS: D
Technologic developments were available to physicians, not lay
midwives. So in-hospital births increased in order to take
advantage of these advancements.
Puerperal sepsis has been a known problem for generations. In the late
19th century,Semmelweis discovered how it could be prevented with
improved hygienic practices.The development of forceps is an example
of a technology advance made in the early 20th century but is not the
only reason birthplaces moved. Unlike home births, early hospital births
hindered bonding between parents and their infants.
PTS: 1 DIF: Cognitive Level:
, Knowledge/Remembering REF: p. 1 OBJ:
Integrated Process: Teaching-Learning MSC:
Client Needs: Safe and Effective Care
Environment
• 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 relationto standards of care?
a. Negligent: the nurse failed to assess the woman for
possible complications b. Negligent: because the nurse
medicated the woman
c. Not negligent: the woman had signed a waiver concerning
the use ofside rails d. Not negligent: the woman did not
inform the nurse of her symptoms as soon as they occurred
ANS: A
.
There are four elements to malpractice, which is negligence in the
performance of professional duties: duty, breach of duty, damage, and
proximate cause. The nurse was negligent because she or he did not
perform any assessments, which is the first step of the nursing process
and is a standard of care. By not assessing the patient, the nurse did
not meet established standards of care, and thus is guilty of
professional negligence, or malpractice.
, PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 16 OBJ: Nursing Process: Evaluation
MSC: Client Needs: Safe and Effective Care Environment
• Which patient situation fails to meet the first requirement
of informedconsent? a. The patient does not understand
the physician’s explanations.
b. The physician gives the patient only a partial list of
possible sideeffects and complications.
c. The patient is confused and disoriented.
d. The patient signs a consent form because her husband tells her to.
ANS: C
The first requirement of informed consent is that the patient must be
competent tomake decisions about health care. Full disclosure of
information is an important element of the consent, but first the patient
has to be competent to sign.
Understanding is an important element of the consent, but first the patient
has to
, be competent to sign. Voluntary consent is an important element of
the consent,but first the patient has to be competent to sign.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 17 OBJ: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment
• Which situation reflects a potential ethical dilemma for the nurse?
a. A nurse administers analgesics to a patient with cancer as
often as theprovider’s order allows.
b. A neonatal nurse provides nourishment and care to a
newborn whohas a defect that is incompatible with life.
c. A labor nurse, whose religion opposes abortion, is asked to
assist with anelective abortion.
d. A postpartum nurse provides information about
adoption to a newmother who feels she cannot
adequately care for her infant.
ANS: C
A dilemma exists in this situation because the nurse is being asked to
assist with aprocedure that she or he believes is morally wrong. The
other situations do not contain elements of conflict for the nurse.
PTS: 1 DIF: Cognitive Level: Comprehension/Understanding
REF: p. 11 OBJ: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment
• When planning a parenting class, the nurse should explain that the
leading causeof death in children 1 to 4 years of age in the United
States is
a. premature birth.
