Maternity and Pediatric Nursing 4th Edition Ricci Kyle Carman Test Bank latest 2026 update all needed to pass

Pediatric Nursing 4th Edition Ricci
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Kyle Carman Test Bank Maternity v v v v




Chapter 1 v




1. When integrating the principles of family-centered care into the birthing
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process, the nurse would base care upon which belief?
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A. Birth is viewed as a medical event. v v v v v v



B. Families are unable to make informed choices due to stress. v v v v v v v v v



C. Birth results in changes in relationships.
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D. Families require little information to make appropriate decisions for care.
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Answer: C v




Rationale: Family-centered care is based on the followinagbi rpb.rcionmc/ tieps tles: Birth affects the
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entire family, and relationships will change; birth is viewed as a normal, healthy event
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in the life of the family; and families are capable of making decisions about their own
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care if given adequate information and professional support.
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Question format: Multiple Choice v v v



Chapter 1: Perspectives on Maternal and Child Health Care
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Cognitive Level: Apply
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Client Needs: Health Promotion and Maintenance
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Integrated Process: Teaching/Learning
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Integrated Process: Caring
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Reference: p. 7 v v




2. The nurse is working with a group of community health members to develop a
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plan to address the special health needs of women. The group would design
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educational programs to address which priority condition?
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A. Smoking
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C. Diabetes
D. Cancer

Answer: B
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Rationale: The group needs to address cardiovascular dise ase, the number one cause of
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death in women regardless of racial or ethnic group. Smoking is related to heart
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disease and the development of cancer. However, heart disease and cancer
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can occur in anywoman regardless ofher smoking histoarbyirb..cComa/ntecster is the second leading
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cause of death, with women having a one in three lifetime risk of developing cancer.
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Diabetes is another important health condition that can affect women. However, it is
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not the major health problem that heart disease is.
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Question format: Multiple Choice v v v



Chapter 1: Perspectives on Maternal and Child Health Care
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Cognitive Level: Apply
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Client Needs: Health Promotion and Maintenance
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Integrated Process: Nursing Process v v v




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,Reference: p. 12 v v




3. A nurse is conducting an orientation program for a group of newly hired nurses. As
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part of the program, the nurse is reviewing the issueaob irfb.icnofmo/trem
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determines that the teaching was effective when the group identifies which
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situation as a violation of informed consent?
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A. Performing a procedure on a 15-year-old without parental consent v v v v v v v v



B. Serving as a witness to the signature process on an oapb ier br. caotmiv/ t ees t permit
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C. Asking whether the client understands what she is signing following receiving
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education
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D. Getting verbal consent over the phone for an emergeanbicrby.copmr / ot ecstedure from the
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spouse of a unconscious woman
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Answer: A v




Rationale: In most states, only clients over the age of 18 can legally provide consent
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for health care. Serving as a witness to the signature process, asking whether the client
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understands what she is signing, andagb i rebt.ctoi mn / gt e svt erbal consent over
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the phone for emergency procedures are all key to informed consent and are not
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violations.
Question format: Multiple Choice v v v



Chapter 1: Perspectives on Maternal and Child Health Caabr i er b
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Cognitive Level: Analyze v v



Client Needs: Safe, Effective Care Environment: Management of Care
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Integrated Process: Nursing Process
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Reference: p. 45 v v




4. A pregnant woman is to undergo an invasive procedure to evaluate the status of
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her fetus. To ensure informed consent, which action wouabldirb.bcoem/ttehset
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responsibility of the nurse providing care to this woman?
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A. Asking relevant questions to determine the client's understanding
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B. Providing a detailed description of the risks and benefits of the procedurev v v v v v v v v v v


C. Explaining the exact steps that will occur during the pa rb oi rbc.ceo dm u/ terset
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D. Offering suggestions for alternative options for treatment v v v v v v




v Answer: A v




Rationale: The nurse's responsibilities related to informed consent include: Ensuring
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the consent form is completed with signatures from the client; serving as a witness to
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thesignature process;and determiningwhetherthecalbiier bn.cto mu/tne sdt erstands whatshe is
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signing by asking her pertinent questions. The physician, advanced practice nurse, or
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midwife is responsible for informing the client about the procedure and obtaining
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consent by providing a detailed description of the procedure or treatment, its potential
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risks and benefits, andalternative methodsa ab ivr ba. ciolma/bt elset .
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Question format: Multiple Choice v v v



Chapter 1: Perspectives on Maternal and Child Health Care
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Cognitive Level: Apply
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Client Needs: Safe, Effective Care Environment: Management of Care
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,Integrated Process: Nursing Process v v v



Reference: p. 45
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5. A 9-month-old with glaucoma requires surgery. The inabfiarb n. cto'ms/t epsat rents
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are divorced. To obtain informed consent, which action would be most
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appropriate?
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A. Contacting the father for informed consent v v v v v



B. Obtaining informed consent from the mother v v v v v




C. Seeking a court ruling on the course of care v v v v v v v v



D. Determining sole or joint custody by the parents v v v v v v v




v Answer: D v




Rationale: The most appropriate action would be to determine legal custody by court
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decree. If the parents have joint custody, then either parent may give consent, but it is
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always best to have consent given by ba boi rtbh. c opma/ t erset nts. The parent with only physical
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custody may give consent for emergency care. The last resort is getting a court
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ruling; usually this is not necessary unless the parents disagree about the care of
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the child.
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Question format: Multiple Choice v v v



Chapter 1: Perspectives on Maternal and Child Health Care
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Cognitive Level: Apply
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Client Needs: Safe, Effective Care Environment: Manageam
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Process: Nursing Process
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Reference: p. 47 v v




6. Which statement made by a nursing student would bea bsi rtb . cionmd/ tiecsat te
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that her education on family-centered care was fully understood?
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A. "Childbirth affects the entire family, and relationships will change."
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B. "Families are usually not capable of making health caarbei r bd. ceo mc/itse isot ns for themselves,
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especially in stressful situations."
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C. "Mothers are the only family member affected by childbirth."
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D. "Since childbirth is a medical procedure, it may affect everyone."
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v Answer: A v




Rationale: Childbirth affects the entire family, and relatioa bnirbs . hc oi mp / st es wt illchange.
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Childbirth is viewed as a normal life event, not a medical procedure. Families are very
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vcapable of making health care decisions about their own care with proper
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information and support. v v



vQuestion format: Multiple Choice v v v



Chapter 1: Perspectives on Maternal and Child Health Care
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vCognitive Level: Apply v v


Client Needs: Psychosocial Integrity
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Integrated Process: Nursing Process v v v



vReference: p. 15 v v




7. Which aspect of client wellness has not been a focusaobfi r bh. ceo ma/lt tehs
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duringthe 21st century ? v v v v




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, A. Disease prevention v



B. Health promotion v



C. Wellness
D. Analysis of morbidity and mortality v v v v




v Answer: D v




Rationale: The focus on health has shifted to disease prea bvi reb .nc otmio/ tne s,t health promotion,
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and wellness. In the last century, much of the focus was on analyzing morbidity and
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mortality rates.
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Question format: Multiple Choice
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Chapter 1: Perspectives on Maternal and Child Health Care
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Cognitive Level: Remember
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Client Needs: Health Promotion and Maintenance Integrated
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Process: Nursing Process
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Reference: , p. Health Status of Women and Children v v v v v v v v




8. A nurse is planning a continuum of care for a client d ua briirbn.cgomp/treestgnancy,
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labor, and childbirth. What is the most important factor in enhancing the
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birthing experience?
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A. Adhering to strict specific routines v v v v



B. Involving a pediatric physician v v v



C. Educating the client about the importance of a suppora tb irpb .e
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D. Assigning several nurses as a support team v v v v v v




v Answer: C v




Rationale: Educating the client about the importance of a support person during labor
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and delivery has been shown to improve and enhance the birthing experience.
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Question format: Multiple Choice
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Chapter 1: Perspectives on Maternal and Child Health Care
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Cognitive Level: Remember
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Client Needs: Health Promotion and Maintenance
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Integrated Process: Teaching/Learning
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Reference: p. 5-7
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9. The nurse is administering a number of therapeutic inatbeirbr.vcoemn/tteisot ns for
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neonates,infants, and children on the pediatric unit. Which intervention
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contributes to an increase in chronic illness seen in early childhood?
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A. Administering antibiotics to prevent lethal infections v v v v v



B. Vaccinating children to prevent childhood diseases v v v v v



C. Using mechanical ventilation for premature infants
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D. Using corticosteroids as a treatment for asthma
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v Answer: C v




Rationale: Using mechanical ventilation and medications to foster lung development in
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premature infants increases their survival rate. Yet thaeb i ribn. cfoamn/ ttess t who survive are often
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faced with myriad chronic illnesses. Administering antibiotics to prevent lethal
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