Test Bank for Maternal-Child Nursing 5th Edition by McKinney, James, Murray, Nelson, Ashwill Chapter 1-55| Updated 2024

Maternal & Child Nursing Care, 5e (London et al.)
Chapter 1 Contemporary Maternal, Newborn, and Child Health Nursing

A nurse is examining different nursing roles. Which statement best illustrates an advanced practic
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e nursing role?
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1. A registered nurse who is the manager of a large obstetric unit
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2. A clinical nurse specialist working as a staff nurse on a mother-baby unit
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3. A registered nurse who is the circulating nurse at surgical deliveries (cesarean sections)
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4. A clinical nurse specialist with whom other nurses consult for this nurse's expertise in caring fo
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r high-risk infants
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Answer: 4 r t


Explanation: A clinical nurse specialist with whom other nurses consult for expertise in caring for
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high-
risk infants would illustrate an advanced practice nursing role. This nurse has specialized knowle
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dge and competence in a specific clinical area, and is master's-prepared.
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Page Ref: 3 rt rt


Cognitive Level: Remembering rt r t


Client Need/Sub: Safe and Effective Care Environment/Management of Care
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Standards: QSEN Competencies: II.B.4. Function competently within own scope of practice as a m
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ember of the health care team | AACN Essential Competencies: VI.1. Compare/contrast the roles
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and perspectives of the nursing profession with other care professionals on the healthcare team (i.
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e. scope of discipline, education and licensure requirements) | NLN Competencies: Teamwork; K
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nowledge; Scope of practice, roles, and responsibilities of health care team members, including ov
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erlaps | Nursing/Integrated Concepts: Nursing Process: Assessment Learning Outcome: 1.1 Ident
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ify the nursing roles available to maternal-newborn and pediatric nurses.
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MNL LO: 1.1.2. Explore the role of the nurse in maternity care delivery.
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1) What is the major focus of the nurse practitioner (NP)?
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1. Leadership
2. Tertiary prevention rt


3. Physical and psychosocial clinical assessment rt rt rt rt


4. Independent care of the high- rt rt rt rt


risk, pregnant client Answer: 3
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Explanation: Physical and psychosocial clinical assessment is the major focus of the NP. Page
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Ref: 3
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Cognitive Level: Remembering rt r t


Client Need/Sub: Safe and Effective Care Environment/Management of Care
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Standards: QSEN Competencies: II.B.4. Function competently within own scope of practice as a m
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ember of the health care team | AACN Essential Competencies: VI.1. Compare/contrast the roles
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and perspectives of the nursing profession with other care professionals on the healthcare team (i.
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e. scope of discipline, education and licensure requirements) | NLN Competencies: Teamwork; K
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nowledge; Scope of practice, roles, and responsibilities of health care team members, including ov
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erlaps | Nursing/Integrated Concepts: Nursing Process: Assessment Learning Outcome: 1.1 Ident
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ify the nursing roles available to maternal-newborn and pediatric nurses.
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MNL LO: 1.1.2. Explore the role of the nurse in maternity care delivery.
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1

,2) What is the role of the certified nurse—midwife (CNM)? Select all that apply.
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1. Give primary care for healthy newborns.
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2. Be educated in two disciplines of nursing.
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3. Give primary care for high-risk clients who are in hospital settings.
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4. Obtain a physician consultation for all technical procedures at delivery.
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5. Be prepared to manage independently the care of women at low risk for complications during pr
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egnancy and birth. rt rt


Answer: 1, 2, 5 r t rt rt


Explanation: The CNM is prepared to manage independently the care of women at low risk for co
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mplications during pregnancy and birth and the care of healthy newborns.
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The CNM is educated in the disciplines of nursing and midwifery.
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The CNM is prepared to manage independently the care of women at low risk for complications du
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ring pregnancy and birth and the care of healthy newborns.
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Page Ref: 3 rt rt


Cognitive Level: Understanding rt r t


Client Need/Sub: Safe and Effective Care Environment/Management of Care
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Standards: QSEN Competencies: II.B.4. Function competently within own scope of practice as a m
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ember of the health care team | AACN Essential Competencies: VI.1. Compare/contrast the roles
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and perspectives of the nursing profession with other care professionals on the healthcare team (i.
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e. scope of discipline, education and licensure requirements) | NLN Competencies: Teamwork; K
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nowledge; Scope of practice, roles, and responsibilities of health care team members, including ov
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erlaps | Nursing/Integrated Concepts: Nursing Process: Assessment Learning Outcome: 1.1 Ident
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ify the nursing roles available to maternal-newborn and pediatric nurses.
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MNL LO: 1.1.2. Explore the role of the nurse in maternity care delivery.
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2

,3) During the hospital admission process, a child's parent asks for information about family-
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centered care. What should the nurse explain to this parent?
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1. Mother is the principal caregiver in each family. rt rt rt rt rt rt rt


2. Father is the leader in each home; thus, all communications should include him.
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3. Family serves as the constant influence and continuing support in the child's life.
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4. Child's physician is the key person in ensuring the health of a child is maintained. A
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nswer: 3 r t


Explanation: The foundation for the development of trusting relationships and partnerships with f
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amilies is the recognition that the family is the principal caregiver, knows the unique nature of ea
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ch individual child best, plays the vital role of meeting the child's needs, and is responsible for ensu
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ring each child's health.
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Page Ref: 3 rt rt


Cognitive Level: Applying rt r t


Client Need/Sub: Safe and Effective Care Environment/Management of Care
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Standards: QSEN Competencies: I.B.3. Provide patient- r t rt rt rt rt


centered care with sensitivity and respect for the diversity of human experience | AACN Essential
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Competencies: IX.5. Deliver compassionate, patient-centered, evidence-
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based care that respects patient and family preferences | NLN Competencies: Relationship Center
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ed Care; Knowledge; The role of family, culture, and community in a person's development | Nurs
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ing/Integrated Concepts: Nursing Process: Planning rt rt rt rt


Learning Outcome: 1.2 Summarize the use of community- rt r t rt rt rt rt rt


based nursing care in meeting the needs of childbearing and childrearing families.
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MNL LO: 1.1.1. Relate the effect of culture and family to the childbearing experience.
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4) A child is not enrolled in the Children's Health Insurance Program (CHIP). What should the n
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urse do to encourage the family to consider enrolling the child in this program?
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1. Assessment of the details of the family's income and expenditures rt rt rt rt rt rt rt rt rt


2. Case management to limit costly, unnecessary duplication of services
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3. Advocacy for the child by encouraging the family to investigate its CHIP eligibility
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4. Education of the family about the need for keeping regular well- rt rt rt rt rt rt rt rt rt rt


child visit appointments Answer: 3
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Explanation: In the role of an advocate, a nurse will advance the interests of another by suggesting
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the family investigate its CHIP eligibility.
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Page Ref: 6 rt rt


Cognitive Level: Applying rt r t


Client Need/Sub: Safe and Effective Care Environment/Management of Care
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Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patie
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nt centered care: information, communication, and education | AACN Essential Competencies: V
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.12. Advocate for consumers and the nursing profession | NLN Competencies: Relationship Center
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ed Care; Practice; Communicate information effectively; listen openly and cooperatively | Nursin
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g/Integrated Concepts: Nursing Process: Implementation rt rt rt rt


Learning Outcome: 1.3 Summarize the current status of factors related to health insurance and acc
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ess to health care.
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MNL LO: 1.1.4. Examine the legal and ethical influences on the delivery of nursing care to the chi
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ldbearing family. rt




3

, 5) The nurse is evaluating telephone calls made by the mothers of newborns in a community cl
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inic. Which calls should the nurse make a priority? Select all that apply.
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1. Mother who is 16 years old rt rt rt rt rt


2. Mother who is breastfeeding rt rt rt


3. Mother who is a single parent rt rt rt rt rt


4. Mother who gave birth to twins 2 weeks agort rt rt rt rt rt rt rt


5. Mother whose baby was born at 30 weeks' gestation
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Answer: 1, 3, 4, 5 r t rt rt rt


Explanation: Infant mortality rates are higher for infants of teen mothers. I
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nfant mortality rates are higher among unmarried mothers.
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Infant mortality rates are higher among infants born in multiple births. Infa
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nt mortality rates are higher among infants born prematurely.
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Page Ref: 8 rt rt


Cognitive Level: Analyzing rt r t


Client Need/Sub: Health Promotion and Maintenance
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Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patie
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nt centered care: information, communication, and education | AACN Essential Competencies: I
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X.1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioecon
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omic, and environmental assessments of health and illness parameters in patients, using develop
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mentally and culturally appropriate approaches | NLN Competencies: Context and Environment;
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Practice; conduct population- rt rt


based transcultural health assessments and interventions | Nursing/Integrated Concepts: Nursing
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Process: Implementation rt


Learning Outcome: 1.4 Relate the availability of statistical data to the formulation of further resea
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rch questions.
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MNL LO: 1.1.3. Relate various factors to their effect on pregnancy outcomes.
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