Test Bank Canadian Maternity And Pediatric
Nursing 2nd Edition Ricci Carman Kyle |
Chapter 1 - 50 Updated Guide 2022
PART I: MATERNITY NURSING
Section 1: Foundations of Maternal-Newborn Nursing
1. When integrating principles of family-centered care into the birthing process, the nurse
bases care upon which belief?
A. Birth is viewed as a medical event requiring strict provider control.
B. Families are unable to make informed choices due to stress.
C. Birth results in changes in relationships affecting the entire family.
D. Families require minimal information to make appropriate decisions.
Rationale: Family-centered care is based on principles that birth affects the entire family
and relationships will change; birth is viewed as a normal, healthy event; and families are
capable of making decisions when given adequate information and support .
2. The nurse is developing a community health plan to address special health needs of
women. Which condition should be the priority?
A. Smoking-related illnesses
B. Cardiovascular disease
C. Diabetes mellitus
D. Breast cancer
Rationale: Cardiovascular disease is the number one cause of death in women regardless of
racial or ethnic group. While cancer is the second leading cause of death, heart disease remains
the priority health concern .
3. A nurse is reviewing informed consent. Which situation represents a violation of informed
consent?
A. Serving as a witness to the signature process on an operative consent form
B. Performing a procedure on a 12-year-old cognitively challenged client without parental
consent
C. Asking whether the client understands what she is signing
D. Getting verbal consent over the phone for an emergency procedure from the spouse
, Rationale: In most provinces and territories, mature minors (usually over age 14) can
provide consent based on maturity level. A 12-year-old is likely not sufficiently mature to
understand teaching and consent related to medical procedures, making this a violation .
4. A nurse needs consent to care for an 11-year-old boy with diabetic ketoacidosis whose
parents are out of town. What is the priority action?
A. Getting telephone consent with two people listening to the verbal consent
B. Providing emergency care without parental consent
C. Contacting the child's aunt or uncle to obtain their consent
D. Asking the courts to grant permission on the child's behalf
Rationale: The priority action is to contact the neighbor for an emergency number to reach
the parents and get their verbal consent with two witnesses listening simultaneously. This
ensures proper consent while addressing the emergency .
5. A nurse is explaining why hospital births became the norm in the 20th century. Which
explanation best applies critical reasoning linking historical trends to maternal outcomes?
A. Hospital births were fashionable and unrelated to health improvements.
B. Advances in obstetric techniques, infection control, and anesthesia shifted births to
hospitals, improving outcomes.
C. Home births were banned by law everywhere, forcing hospital births.
D. The shift occurred only because transportation improved.
Rationale: This links advances in medical technology and infection control to improved
maternal/newborn outcomes and explains the trend toward hospital births. Transportation
helps access but is not the primary driver .
6. The nurse is teaching a prenatal class about the evolution of maternal-newborn nursing.
Which practice best reflects this evolution?
A. Focusing exclusively on discharge education without follow-up
B. Providing family-centered care, education, and coordination across settings
C. Prioritizing rigid hospital-only care models
D. Limiting involvement with community resources
Rationale: The evolution of maternal-newborn nursing emphasizes family-centered care,
education, and care coordination across hospital and community settings. Discharge education
must include follow-up, and community resources are essential .
,7. A community health nurse is designing a program to reduce infant mortality in a high-risk
neighborhood. Which action best reflects a population-based approach?
A. Offering individualized home visits to the 20 highest-risk pregnant clients
B. Creating a breastfeeding promotion campaign with community leaders and local clinics
C. Providing extra prenatal vitamins to clients who request them
D. Referring each pregnant client to a tertiary perinatal center
Rationale: A community campaign partnering with local leaders and clinics targets the
population, addresses social influences, and promotes sustainable preventive measures—core
to population-based maternal-child health .
8. Which statement correctly distinguishes maternal mortality metrics?
A. Maternal mortality ratio measures maternal deaths per 1,000 women of reproductive age.
B. Maternal mortality rate is the number of maternal deaths per 100,000 live births.
C. Maternal mortality ratio is deaths per 100,000 live births, reflecting risk associated with
pregnancy.
D. Maternal mortality ratio and rate are interchangeable terms.
Rationale: The maternal mortality ratio is typically expressed as maternal deaths per
100,000 live births and reflects pregnancy-related risk. The rate measures deaths per population
level .
9. A nurse is teaching about historical policy shifts in maternal-child nursing. Which statement
reflects a critical reasoning understanding?
A. Hospital births were banned by law everywhere.
B. Medical advances and infection control contributed to the move toward hospital births.
C. The shift occurred only because transportation improved.
D. Hospital births were unrelated to health improvements.
Rationale: Linking advances in medical technology and infection control to improved
maternal/newborn outcomes explains the trend toward hospital births. This reflects historical
policy and practice shifts that explain current maternal-child nursing roles .
10. A nurse manager is redesigning a postpartum unit to reflect family-centered care. Which
unit change best reflects this evolution?
A. Limiting visiting hours to immediate family only
B. Promoting rooming-in and parental participation in newborn care teaching
, C. Separating mothers and newborns for routine observation in nursery
D. Requiring all infant feeding to be staff-administered
Rationale: Rooming-in and involving parents in care support family-centered practice and
enhance bonding and breastfeeding success. Routine separation contradicts current family-
centered trends .
11. A pediatric charge nurse is mentoring a new graduate. Which action best reflects the
unique scope of pediatric nursing practice?
A. Applying adult medication dosages to children after halving them
B. Using developmentally appropriate communication and play to assess and treat children
C. Expecting children to comply with adult teaching methods
D. Limiting family involvement to only physical care tasks
Rationale: Pediatric nursing requires developmentally appropriate communication and play
to assess and treat children. Adult medication dosages cannot simply be halved for children .
12. A public health nurse interprets a county report showing increased maternal mortality
due to hypertensive disorders. Which nursing initiative should be prioritized?
A. Offering prenatal education on blood pressure self-monitoring and timely antepartum
assessments
B. Recommending all pregnant women avoid prenatal visits to reduce stress
C. Delaying screening for preeclampsia until the third trimester only
D. Advising cessation of all antihypertensive medications during pregnancy
Rationale: Education on blood pressure self-monitoring and timely antenatal assessments
enables early identification and management of hypertensive disorders, reducing maternal
mortality risk .
Section 2: Reproductive Anatomy & Fetal Development
13. Which structure is responsible for producing estrogen and progesterone?
A. Fallopian tube
B. Ovary
C. Uterus
D. Cervix
Nursing 2nd Edition Ricci Carman Kyle |
Chapter 1 - 50 Updated Guide 2022
PART I: MATERNITY NURSING
Section 1: Foundations of Maternal-Newborn Nursing
1. When integrating principles of family-centered care into the birthing process, the nurse
bases care upon which belief?
A. Birth is viewed as a medical event requiring strict provider control.
B. Families are unable to make informed choices due to stress.
C. Birth results in changes in relationships affecting the entire family.
D. Families require minimal information to make appropriate decisions.
Rationale: Family-centered care is based on principles that birth affects the entire family
and relationships will change; birth is viewed as a normal, healthy event; and families are
capable of making decisions when given adequate information and support .
2. The nurse is developing a community health plan to address special health needs of
women. Which condition should be the priority?
A. Smoking-related illnesses
B. Cardiovascular disease
C. Diabetes mellitus
D. Breast cancer
Rationale: Cardiovascular disease is the number one cause of death in women regardless of
racial or ethnic group. While cancer is the second leading cause of death, heart disease remains
the priority health concern .
3. A nurse is reviewing informed consent. Which situation represents a violation of informed
consent?
A. Serving as a witness to the signature process on an operative consent form
B. Performing a procedure on a 12-year-old cognitively challenged client without parental
consent
C. Asking whether the client understands what she is signing
D. Getting verbal consent over the phone for an emergency procedure from the spouse
, Rationale: In most provinces and territories, mature minors (usually over age 14) can
provide consent based on maturity level. A 12-year-old is likely not sufficiently mature to
understand teaching and consent related to medical procedures, making this a violation .
4. A nurse needs consent to care for an 11-year-old boy with diabetic ketoacidosis whose
parents are out of town. What is the priority action?
A. Getting telephone consent with two people listening to the verbal consent
B. Providing emergency care without parental consent
C. Contacting the child's aunt or uncle to obtain their consent
D. Asking the courts to grant permission on the child's behalf
Rationale: The priority action is to contact the neighbor for an emergency number to reach
the parents and get their verbal consent with two witnesses listening simultaneously. This
ensures proper consent while addressing the emergency .
5. A nurse is explaining why hospital births became the norm in the 20th century. Which
explanation best applies critical reasoning linking historical trends to maternal outcomes?
A. Hospital births were fashionable and unrelated to health improvements.
B. Advances in obstetric techniques, infection control, and anesthesia shifted births to
hospitals, improving outcomes.
C. Home births were banned by law everywhere, forcing hospital births.
D. The shift occurred only because transportation improved.
Rationale: This links advances in medical technology and infection control to improved
maternal/newborn outcomes and explains the trend toward hospital births. Transportation
helps access but is not the primary driver .
6. The nurse is teaching a prenatal class about the evolution of maternal-newborn nursing.
Which practice best reflects this evolution?
A. Focusing exclusively on discharge education without follow-up
B. Providing family-centered care, education, and coordination across settings
C. Prioritizing rigid hospital-only care models
D. Limiting involvement with community resources
Rationale: The evolution of maternal-newborn nursing emphasizes family-centered care,
education, and care coordination across hospital and community settings. Discharge education
must include follow-up, and community resources are essential .
,7. A community health nurse is designing a program to reduce infant mortality in a high-risk
neighborhood. Which action best reflects a population-based approach?
A. Offering individualized home visits to the 20 highest-risk pregnant clients
B. Creating a breastfeeding promotion campaign with community leaders and local clinics
C. Providing extra prenatal vitamins to clients who request them
D. Referring each pregnant client to a tertiary perinatal center
Rationale: A community campaign partnering with local leaders and clinics targets the
population, addresses social influences, and promotes sustainable preventive measures—core
to population-based maternal-child health .
8. Which statement correctly distinguishes maternal mortality metrics?
A. Maternal mortality ratio measures maternal deaths per 1,000 women of reproductive age.
B. Maternal mortality rate is the number of maternal deaths per 100,000 live births.
C. Maternal mortality ratio is deaths per 100,000 live births, reflecting risk associated with
pregnancy.
D. Maternal mortality ratio and rate are interchangeable terms.
Rationale: The maternal mortality ratio is typically expressed as maternal deaths per
100,000 live births and reflects pregnancy-related risk. The rate measures deaths per population
level .
9. A nurse is teaching about historical policy shifts in maternal-child nursing. Which statement
reflects a critical reasoning understanding?
A. Hospital births were banned by law everywhere.
B. Medical advances and infection control contributed to the move toward hospital births.
C. The shift occurred only because transportation improved.
D. Hospital births were unrelated to health improvements.
Rationale: Linking advances in medical technology and infection control to improved
maternal/newborn outcomes explains the trend toward hospital births. This reflects historical
policy and practice shifts that explain current maternal-child nursing roles .
10. A nurse manager is redesigning a postpartum unit to reflect family-centered care. Which
unit change best reflects this evolution?
A. Limiting visiting hours to immediate family only
B. Promoting rooming-in and parental participation in newborn care teaching
, C. Separating mothers and newborns for routine observation in nursery
D. Requiring all infant feeding to be staff-administered
Rationale: Rooming-in and involving parents in care support family-centered practice and
enhance bonding and breastfeeding success. Routine separation contradicts current family-
centered trends .
11. A pediatric charge nurse is mentoring a new graduate. Which action best reflects the
unique scope of pediatric nursing practice?
A. Applying adult medication dosages to children after halving them
B. Using developmentally appropriate communication and play to assess and treat children
C. Expecting children to comply with adult teaching methods
D. Limiting family involvement to only physical care tasks
Rationale: Pediatric nursing requires developmentally appropriate communication and play
to assess and treat children. Adult medication dosages cannot simply be halved for children .
12. A public health nurse interprets a county report showing increased maternal mortality
due to hypertensive disorders. Which nursing initiative should be prioritized?
A. Offering prenatal education on blood pressure self-monitoring and timely antepartum
assessments
B. Recommending all pregnant women avoid prenatal visits to reduce stress
C. Delaying screening for preeclampsia until the third trimester only
D. Advising cessation of all antihypertensive medications during pregnancy
Rationale: Education on blood pressure self-monitoring and timely antenatal assessments
enables early identification and management of hypertensive disorders, reducing maternal
mortality risk .
Section 2: Reproductive Anatomy & Fetal Development
13. Which structure is responsible for producing estrogen and progesterone?
A. Fallopian tube
B. Ovary
C. Uterus
D. Cervix
