Introductory Maternity and Pediatric Nursing 4th Edition Hatfield Test Bank (Complete All Correct Answers)

Introductory Maternity and Pediatric Nursing 4th Edition Hatfield Test Bank (Complete All Correct Answers) Chapter 1: The Nurse's Role in a Changing Maternal–Child Health Care Environment MULTIPLE CHOICE 1. Which principle of teaching should the nurse use to ensure learning in a family situation? a. Motivate the family with praise and positive feedback. b. Learning is best accomplished with the lecture format. c. Present complex subject material first while the family is alert and ready to learn. d. Families should be taught using medical jargon so they will be able to understand the technical language used by physicians. Which nursing diagnosis should the nurse set as a priority for a laboring client? a. Risk for anxiety related to upcoming birth b. Risk for imbalanced nutrition related to NPO status c. Risk for altered family processes related to new addition to the family d. Risk for injury (maternal) related to altered sensations and positional or physical changes ANS: D The nurse should determine which problem needs immediate attention. Risk for injury is the problem that has the priority at this time because it is a safety problem. Risk for anxiety, imbalanced nutrition, and altered family processes are not the priorities at this time. PTS: 1 DIF: Cognitive Level: Application REF: 24, 25 OBJ: Nursing Process Step: Implementation MSC: Client Needs: Safe and Effective Care Environment 12. Regarding advanced roles of nursing, which statement is true with regard to clinical practice? [Type here] Introductory Maternity and Pediatric Nursing 4th Edition Hatfield Test Bank a. Family nurse practitioners (FNPs) can assist with childbirth care in the hospital setting. b. Clinical nurse specialists provide primary care to obstetric clients. c. Neonatal nurse practitioners provide emergency care in the postbirth setting to high-risk infants. d. A certified nurse midwife (CNM) is not considered to be an advanced practice nurse. ANS: C Neonatal NPs provide care for the high-risk neonate in the birth room and in the neonatal intensive care unit, as needed. FNPs do not participate in childbirth care but can take care of uncomplicated pregnancies and postbirth care outside of the hospital setting. CNSs work in hospital settings but do not provide primary care services to clients. A CNM is an advanced practice nurse who receives additional certification in the specific area of midwifery. PTS: 1 DIF: Cognitive Level: Application REF: 17 OBJ: Nursing Process Step: Evaluation MSC: Client Needs: Management of Care: Legal Rights and Responsibilities 13. You are taking care of a couple postbirth who are very eager to learn about bathing techniques that they can use for their newborn. Which teaching technique could the nurse use to facilitate parents learning about giving a bath to their newborn infant? a. Provide direct, step-by-step demonstration to each parent separately to foster individual retention and comprehension. b. Present information to parents prior to discharge so that the information will be current. c. Have each parent bathe the newborn each time the infant comes to the room and provide commentary after the skill repetition. d. Demonstrate bathing techniques on the newborn infant with parents in attendance. ANS: D [Type here] Introductory Maternity and Pediatric Nursing 4th Edition Hatfield Test Bank Demonstration of bathing techniques is a form of role modeling that would enhance teaching and learning outcomes. Presenting the information at the time of discharge will not allow for identification of concerns and/or evaluation of whether the skill has been acquired. Although it may be advantageous to have each parent bathe their newborn, this action would not be advised in terms of time management and safety related to maintenance of core temperature. PTS: 1 DIF: Cognitive Level: Application REF: 21 OBJ: Nursing Process Step: Implementation MSC: Client Needs: Health Promotion: Teaching/Learning 14. Which statement is true regarding the shortage of nurses in the United States? a. There are a larger proportion of younger nurses in the workforce as compared with older nurses. b. As a result of decreased RN-to-client ratios, there is a decrease in client mortality in the clinical setting. c. Increased needs for baccalaureate nurses are not being met by current enrollment. d. There are adequate classroom and clinical facilities for training RNs. ANS: C According to an Institute of Medicine (IOM) report, by the year 2020, there will only be 50% of RNs with baccalaureate degrees. The required demand is at 80%. There are a larger proportion of older nurses in the workforce based on current research by the IOM. Increased RN-to-client ratios has resulted in decreased client mortality in the clinical setting. There are limitations of classroom and clinical facilities to train new nurses adequately. PTS: 1 DIF: Cognitive Level: Application REF: 16 OBJ: Nursing Process Step: Implementation MSC: Client Needs: Health Promotion: Teaching/Learning [Type here] Introductory Maternity and Pediatric Nursing 4th Edition Hatfield Test Bank 15. A hospital has achieved Magnet status. Which indicators would be consistent with this type of certification? a. There is stratification of communication in a directed manner between nursing staff and administration. b. There is increased job satisfaction of nurses, with a low staff turnover rate. c. Physicians are certified in their respective specialty areas. d. All nurses have baccalaureate degrees and certification in their clinical specialty area. ANS: B Magnet status is a certification offered by the ANCC (American Nurses Credentialing Center) in which hospitals apply based on designated criteria that consider nurse job satisfaction, staff patterns, strength, quality of nursing staff, and open communication. It is not based on physician status. Although the expectation is that at least 80% of the nurses will have baccalaureate degrees, most hospitals that achieve Magnet status have 50% of RNs at that level. Also, certification is not required for all nurses at this point. The expectation with Magnet status is that nurses will continue to expand their knowledge by earning additional degrees and certification. PTS: 1 DIF: Cognitive Level: Application REF: 17 OBJ: Nursing Process Step: Assessment MSC: Client Needs: Health Promotion: Teaching/Learning 16. Which of the following indicates a nurses role as a researcher? a. Reading peer-reviewed journal articles b. Working as a member of the interdisciplinary team to provide client care c. Helping client to obtain home care post-discharge from the hospital d. Delegating tasks to unlicensed personnel to allow for more teaching time with clients ANS: A [Type here] Introductory Maternity and Pediatric Nursing 4th Edition Hatfield Test Bank A nurse in a researcher role should look to improve her or his knowledge base by reading and reviewing evidence-based practice information as found in peer-reviewed journals. Working as a member of the interdisciplinary team to provide client care indicates that the nurse is working as a collaborator. Helping the client to obtain home care post-discharge from the hospital indicates that the nurse is working as a client advocate. Delegating tasks to unlicensed personnel to allow for more teaching time with clients indicates that the nurse is working as a manager. PTS: 1 DIF: Cognitive Level: Application REF: 21 OBJ: Nursing Process Step: Assessment MSC: Client Needs: Health Promotion: Teaching/Learning 17. A 16-year-old primipara has just completed her first prenatal visit with the health care provider. The nurse is preparing to teach her about nutrition during pregnancy. What must the nurse include in the patients teaching plan? a. Provide her with pictures of dairy products. b. Ask her, Are you ready to hear this information now? c. Read directly from the pamphlet prepared for teen mothers. d. Provide a comfortable and warm setting after she has put on her street clothes. ANS: D The nurse must structure teaching for teens in a way that suits them best. For teaching to be most effective, the physical environment must be comfortable and distractions to learning must be kept at a minimum. Pictures, videos, and computer-based materials are more effective teaching tools for younger clients. Patients must have an attitude of readiness and openness for the teaching to be effective. However, if the environment is not conducive to learning, efforts for effective teaching will be minimized. PTS: 1 DIF: Cognitive Level: Application REF: 18 OBJ: Nursing Process Step: Planning MSC: Client Needs: Health Promotion and Maintenance [Type here] Introductory Maternity and Pediatric Nursing 4th Edition Hatfield Test Bank 18. The nurse states to the newly pregnant patient, Tell me how you feel about being pregnant. Which communication technique is the nurse using with this patient? a. Clarifying b. Paraphrasing c. Reflection d. Structuring ANS: A The nurse is attempting to follow up and check the accuracy of the patients message. Paraphrasing is restating words other than those used by the patient. Reflection is verbalizing comprehension of what the patient has said. Structuring takes place when the nurse has set guidelines or set priorities. PTS: 1 DIF: Cognitive Level: Understanding REF: 19 OBJ: Nursing Process Step: Analysis MSC: Client Needs: Health Promotion and Maintenance 19. The pregnant woman tells the nurse, I think something may be wrong with my pregnancy. Which statement by the nurse demonstrates therapeutic communication? a. Most women worry; I felt the same way when I was pregnant. b. Tell me more about what concerns you about this pregnancy. c. That is a very common concern, but your pregnancy will turn out just fine. d. You should focus on taking care of yourself and not worry so much. ANS: B Questioning is a therapeutic communication technique in which additional information is elicited by using open-ended questions. The remaining options are examples of three behaviors that block communicationinappropriate self-disclosure, providing false reassurance, and giving advice. PTS: 1 DIF: Cognitive Level: Analysis REF: 18 [Type here] Introductory Maternity and Pediatric Nursing 4th Edition Hatfield Test Bank OBJ: Nursing Process Step: Implementation MSC: Client Needs: Psychosocial Integrity MULTIPLE RESPONSE 20. The nurse is formulating a nursing care plan for a postpartum client. Which actions by the nurse indicate use of critical thinking skills when formulating the care plan? (Select all that apply). a. Using a standardized postpartum care plan b. Determining priorities for each diagnosis written c. Writing interventions from a nursing diagnosis book d. Reflecting and suspending judgment when writing the care plan e. Clustering data during the assessment process according to normal versus abnormal ANS: B, D, E Critical thinking focuses on appraisal of the way the individual thinks, and it emphasizes reflective skepticism. Determining priorities, reflecting and suspending judgment, and clustering data are actions that indicate the use of critical thinking. Using a standardized care plan and writing interventions from a nursing diagnosis book do not show that reflection about the clients individual care is being done. Chapter 2: Family-Centered and Community-Based Maternal and Pediatric Nursing MULTIPLE CHOICE 1. The nurse is teaching a homeless pregnant teenager about prenatal care. Which should the nurse emphasize in the teaching session? a. The importance of naming the baby b. Risk factors associated with pregnancy c. Information about employment opportunities [Type here] Introductory Maternity and Pediatric Nursing 4th Edition Hatfield Test Bank d. Eating habits that will provide adequate nutrition ANS: D Homeless teens are more likely to have poor eating habits, smoke, and have greater risks for preterm labor, anemia, and hypertension during pregnancy and to deliver a low-birth-weight (LBW) infant. Teaching about proper eating habits is the priority at this time. Naming the baby, risk factors associated with pregnancy, and information about employment are not the highest priorities to teach at this time. PTS: 1 DIF: Cognitive Level: Application REF: 35 OBJ: Nursing Process Step: Implementation MSC: Client Needs: Health Promotion and Maintenance 2. The United States ranks 27th in terms of worldwide infant mortality rates. Which factor has the greatest impact on decreasing the mortality rate of infants? a. Providing more womens shelters b. Ensuring early and adequate prenatal care c. Resolving all language and cultural differences d. Enrolling pregnant women in the Medicaid program by their eighth month of pregnancy ANS: B Because preterm infants form the largest category of those needing expensive intensive care, early pregnancy intervention is essential for decreasing infant mortality. The women in shelters have the same difficulties in obtaining health care as other poor people, particularly lack of transportation and inconvenient clinic hours. Language and cultural differences are not infant mortality issues but must be addressed to improve overall health care. Medicaid provides health care for poor pregnant women, but the process may take weeks to take effect. The eighth month is too late to apply and receive benefits for this pregnancy. [Type here] Introductory Maternity and Pediatric Nursing 4th Edition Hatfield Test Bank PTS: 1 DIF: Cognitive Level: Understanding REF: 35 OBJ: Nursing Process Step: Assessment MSC: Client Needs: Health Promotion and Maintenance 3. Which statement is true regarding the quality assurance or incident report? a. Reports are a permanent part of the patients chart. b. The report assures the legal department that there is no problem. c. The nurses notes should contain this statement: Incident report filed and copy placed in chart. d. This report is a form of documentation of an event that may result in legal action. ANS: D Documentation on the chart should include all factual information regarding the clients condition that would be recorded in any situation. The nurse completes an incident report when something occurs that might result in a legal action against the clinic or hospital. Incident reports are not part of the patients chart. The report is a warning to the legal department to be prepared for a potential legal action. Incident reports are not mentioned in the nurses notes. PTS: 1 DIF: Cognitive Level: Analysis REF: 39 OBJ: Nursing Process Step: Implementation MSC: Client Needs: Safe and Effective Care Environment 4. The nurse is planning a teaching session for staff on ethical theories. Which situation best reflects the deontologic theory? a. Approving a physician-assisted suicide b. Supporting the transplantation of fetal tissue and organs c. Using experimental medications for the treatment of AIDS d. Initiating resuscitative measures on a 90-year-old patient with terminal cancer ANS: D [Type here] Introductory Maternity and Pediatric Nursing 4th Edition Hatfield Test Bank In the deontologic theory, life must be maintained at all costs, regardless of quality of life. Approving a physician-assisted suicide, supporting the transplantation of fetal tissue and organs, and using experimental medications for the treatment of AIDS are examples of a utilitarian model. PTS: 1 DIF: Cognitive Level: Application REF: 29 OBJ: Nursing Process Step: Planning MSC: Client Needs: Psychosocial Integrity 5. Which step of the nursing process is being used when the nurse decides whether an ethical dilemma exists? a. Analysis b. Planning c. Evaluation d. Assessment ANS: A When a nurse uses the collected data to determine whether an ethical dilemma exists, the data are being analyzed. Planning is done after the data have been analyzed. Evaluation occurs once the outcome has been achieved. Assessment is the data collection phase. PTS: 1 DIF: Cognitive Level: Understanding REF: 30 OBJ: Nursing Process Step: Evaluation MSC: Client Needs: Safe and Effective Care Environment: Coordinated Care 6. The nurse is interviewing a 6-week pregnant client. The client asks the nurse, Why is elective abortion considered an ethical issue? Which is the best response that the nurse should make? a. Abortion requires third-party consent. b. The U.S. Supreme Court ruled that life begins at conception. c. Abortion law is unclear about a womans constitutional rights. [Type here] Introductory Maternity and Pediatric Nursing 4th Edition Hatfield Test Bank d. There is a conflict between the rights of the woman and the rights of the fetus. ANS: D Elective abortion is an ethical dilemma because two opposing courses of action are available. Abortion does not require third-party consent. The Supreme Court has not ruled on when life begins. Abortion laws are clear concerning a womens constitutional rights. PTS: 1 DIF: Cognitive Level: Application REF: 31 OBJ: Nursing Process Step: Implementation MSC: Client Needs: Safe and Effective Care Environment 7. At the present time, surrogate parenting is governed by which of the following? a. State law b. Federal law c. Individual court decision d. Protective child services ANS: C Each surrogacy case is decided individually in a court of law. Surrogacy is not governed by state law. Surrogacy is not governed by federal law. Protective child services does not make decisions about surrogacy. PTS: 1 DIF: Cognitive Level: Understanding REF: 33 OBJ: Nursing Process Step: Assessment MSC: Client Needs: Health Promotion and Maintenance 8. Which client will most likely seek prenatal care? a. Janice, 15 years old, tells her friends, I dont believe I am pregnant. b. Carol, 28 years old, is in her second pregnancy and abuses drugs and alcohol. [Type here] Introductory Maternity and Pediatric Nursing 4th Edition Hatfield Test Bank c. Margaret, 20 years old, is in her first pregnancy and has access to a free prenatal clinic. d. Glenda, 30 years old, is in her fifth pregnancy and delivered her last infant at home with the help of her mother and sister. ANS: C The client who acknowledges the pregnancy early, has access to health care, and has no reason to avoid health care is most likely to seek prenatal care. Being in denial about the pregnancy will prevent a client from seeking health care. Substance abusers are less likely to seek health care. Some women see pregnancy and birth as a natural occurrence and do not seek health care. PTS: 1 DIF: Cognitive Level: Understanding REF: 35 OBJ: Nursing Process Step: Assessment MSC: Client Needs: Health Promotion and Maintenance 9. A medical surgical nurse is asked to float to a womens health unit to care for clients who are scheduled for therapeutic abortions. The nurse refuses to accept this assignment and expresses her personal beliefs as being incongruent with this medical practice. The nursing supervisor states that the unit is short-staffed and that they could really use her expertise because it just involves taking care of clients who have undergone a surgical procedure. In consideration of legal and ethical practices, can the nursing supervisor enforce this assignment?