est Bank Safe Maternity & Pediatric Nursing Care Second Edition by Luanne Linnard-Palmer Chapter 1-38|Complete Guide A+

Chapter 1: Introduction to Maternity and Pediatric Nursing Multiple Choice Identify the choice that best completes the statement or answers the question. ____ 1. A patient is admitted to the labor and delivery unit, and a plan of care based on that patient’s needs is developed by which member of the health-care team? 1) Licensed practical nurse (LPN)/Licensed vocational nurse (LVN) 2) Registered nurse (RN) 3) Nurse practitioner 4) Certified nurse midwife ____ 2. How does a nurse practitioner’s role differ from that of a certified nurse midwife with regard to maternity care? 1) The nurse practitioner does not usually deliver babies but cares for women before and after delivery. 2) The certified nurse midwife cannot prescribe medications, but a nurse practitioner does have prescribing privileges. 3) The certified nurse midwife is hired by the hospital, whereas a nurse practitioner practices independently and does not have hospital privileges. 4) The certified nurse midwife and the nurse practitioner have very similar roles with little difference between the two. ____ 3. The provider explains the need for an amniocentesis, but the patient declines the procedure. The nurse supports the patient’s right to make this decision, demonstrating an understanding of which ethical principle? 1) Autonomy 2) Beneficence 3) Nonmaleficence 4) Justice ____ 4. The nurse joins a community outreach program to promote vaccination of children, demonstrating which ethical principle? 1) Autonomy 2) Beneficence 3) Nonmaleficence 4) Justice ____ 5. The nurse working in an acute care facility makes it a point to never look at the declaration page showing the patient’s insurance or lack of insurance because of a belief that all patients should be treated equally. This demonstrates which ethical principle? 1) Autonomy 2) Beneficence 3) Nonmaleficence 4) Justice ____ 6. A patient asks the student nurse whether a medication is safe to take during pregnancy. The student thinks it is an approved medication during pregnancy. Which is the student’s best response? 1) “I’m pretty sure it is a safe medication.” S - The Marketplace to Buy and Sell your Study Material 2) “I’m not qualified to answer that question.” 3) “I will ask your obstetric provider.” 4) “I really don’t know.” ____ 7. Which term describes assisting a family to feel supported, listened to, and competent? 1) Enable 2) Empathy 3) Egocentric 4) Empowerment ___ 8. Which action should the nurse implement in order to apply the principles of familycentered care in the hospital environment? 1) Implementing strict visitation policy for siblings 2) Allowing a child to “cry it out” when parents leave the bedside 3) Encouraging parents to continue bedtime routines, such as reading a story 4) Discouraging cultural foods because they cannot be provided by the dietary department ____ 9. Which anatomical difference between adults and children places a pediatric patient at risk for insensible losses? 1) Large body surface area 2) Obligatory nose breathing 3) Disproportionate head size 4) Poorly developed intercostal chest muscles ____ 10. Which pediatric anatomical factor increases the risk for respiratory failure when care is provided to a child? 1) Smaller airway 2) Obligatory nose breathing 3) Large posterior head bone occiput 4) Poorly developed intercostal chest muscles ____ 11. Which pediatric anatomical factor increases the risk for airway occlusion when care is provided to a child? 1) A large posterior head bone occiput 2) An increase in total body surface area 3) A decrease in circulatory blood volume 4) Intercostal chest muscles that are poorly developed ____ 12. The nurse is preparing an 8-year-old child for a procedure. Which statement is true of assent? 1) Feedback from the child is part of the agreement or assent. 2) All children 7 or older can participate in assent. 3) Assent only applies to emancipated children. 4) The health-care team does not need to include the parent or guardian in assent. ____ 13. The nurse has many tasks to complete and is trying to ensure that they are all done in a timely manner. What is the first step the nurse should take when delegating? 1) Review the legal standards of the task. 2) Decide if the legal standards and specific activity of the task allow the task to be delegated. 3) Clarify what the specific activity or task is by defining all aspects of the issue. 4) Model the established practice that is accepted as the correct way to provide care. ____ 14. What is the nurse’s responsibility in regard to informed consent? 1) Answer the patient’s questions about the procedure. 2) Explain what the provider will be doing during the procedure. 3) Ensure that the consent is signed by the provider and the patient prior to the procedure. 4) Telling the patient all of the risks associated with the procedure. ____ 15. A 17-year-old in her first trimester visits the clinic for a prenatal appointment. She is upset because her parents want her to have an abortion but she does not. What should the nurse ask to find out the emancipation status of the patient? 1) “Are you married?” 2) “Do you have a lawyer?” 3) “Do you have a job?” 4) “Have you graduated high school?” ____ 16. Which of the following is not included in children’s rights? 1) Right to participation 2) Right to decision-making 3) Right to protection