Test Bank For
Maternity and
Pediatric Nursing
4th Edition By Ricci
Kyle Carman
Chapter 1
• The nurse is preparing the discharge plan for a woman whose newborn
requires ventilatory support at home. Which action by the nurse would be most
appropriate to do when assuming therole of discharge planner?
A. Confer with the client's parents.
B. Teach new self-care skills to the client.
C. Determine if there is a need for back-up power.
D. Discuss coverage with the insurance company.
Answer: C
Rationale: The nurse should establish if there is a need for back-up power during
discharge planning. Conferring with a woman's parents and dealing with insurance
companies are case management activities. Teaching self-care skills are activities
assaobcirbia.ctoemd/tewstith the nurse as an educator.
Question format: Multiple Choice
Chapter 2: Family-Centered
Community-Based CareCognitive
Level: Apply
, Client Needs: Safe, Effective Care Environment:
Management of CareIntegrated Process: Nursing
Process
Reference: p. 71
• A nurse working in the community is involved in providing primary
prevention. Whichintervention would be most appropriate to
implement?kj
A. teaching parents of toddlers about ways to prevent poisoning
B. working with women who are victims of domestic violence
C. working with clients at an HIV clinic to provide nutritional and CAM therapies
D. teaching hypertensive clients to
monitor blood pressure
Answer: A
Rationale: Primary prevention involves preventing a disease or condition
before it occurs, such as teaching parents of toddlers about poisoning
prevention. Working with women who are
victims of domestic violence, clients at an HIV clinic, or hypertensive clients are
all examples of tertiary prevention, which is designed to reduce or limit the prograeb si r
bs .icoon
m /o
t efs ta disease or condition. Question format: Multiple Choice
Chapter 2: Family-Centered
Community-Based CareCognitive
Level: Remember
Client Needs: Health Promotion
and MaintenanceIntegrated
Process: Teaching/Learning
Reference: p. 71-72
• A nurse is preparing an in-service program for a group of newly hired
nurses about trends in care for pregnant women. When describing events of the
past decade, the nurse would state that the average length of stay in the hospital
for vaginal births is:
A. 24 to 48 hours or less.
B. 72 to 96 hours or less.
C. 48 to 72 hours or less.
D. 96 to 120 hours or less.
Answer: A
Rationale: Hospital stays for vaginal births have averaged 24 to 48 hours or less
during the past decade and 72 to 96 hours or less for cesarean births.
,Question format: Multiple Choice
Chapter 2: Family-Centered
Community-Based CareCognitive
Level: Understand
Client Needs: Health Promotion
and MaintenanceIntegrated
Process: Teaching/Learning
Reference: p. 85
• A nurse is teaching a local women's group about women's health care and
changes that have occurred. When describing women's health care today, which s t aat
be i m
r b . ec onmt / w
t e sot uld the nurse likely include?
A. Women spend 50 cents of every dollar spent on health care.
B. Women make almost 80% of all health care decisions.
C. Women are still the minority in the United States.
D. Men use more health services than women.
Answer: B
Rationale: Women make almost 80% of all health care decisions (those related
to caregiver, mother, client); they represent the majority of the population; t heayb i rsbp.
ceonmd/ t e6s 6
t cents of every health care dollar; and they use more health services
than men, with 7 of every 10 most frequently performed surgeries being specific
to women.
Question format: Multiple Choice
Chapter 2: Family-Centered Community-Based Care
Cognitive Level: Understand
Client Needs: Health Promotion
and MaintenanceIntegrated
Process: Teaching/Learning
Reference: p. 87
• A nurse is educating a client about a care plan. Which question would
be appropriate toassess whether the client is learning?
A. "Did you graduate from high school, and how many years of schooling did you
have?"
B. "Do you have someone in your family who would understand this information?"
C. "Many people have trouble remembering information; is this a problem for you?"
D. Would you prefer that the primary care provider give you mo raeb i rdb e.
ctoami l/ tee d
s t medical information?"
Answer: C
, Rationale: It is appropriate to ask the client if the client will have trouble
remembering the information. Many clients have this problem. It removes any
judgment or stereotypes regarding education level, ability to understand, or learning
skills. Avoid giavbiirnb.gcoimn/fteosrtmation that uses a lotof medical language or
jargon, and use a simple, conversational style.
Question format: Multiple Choice
Chapter 2: Family-Centered
Community-Based CareCognitive
Level: Apply
Client Needs: Safe, Effective Care Environment:
Management of CareIntegrated Process:
Teaching/Learning
Reference: p. 69-70
• A nurse is working at a community prenatal drop-in clinic. Which
actions best reflect theprinciples of family nursing within this clinic? Select
all that appalyb i.rb
A. The clients and their families are assessed for adherence to federal health guidelines.
B. Health promotion education activities are planned for the clients and their families.
C. The clients and their families are included in all decision-making collaborations.
D.
The nurse would seek other health care provider input to planacbairbre. c.om
E. The client is viewed as the ultimate decision maker.
Answer: B, C, D
Rationale: When implementing family-centered care, nurses seek other
caregiver input. These suggestions and advice are incorporated into the client's
plan of care as the nurse counsels and teaches the family appropriate health care
interventions. Health parboi r m
b . coo tmio
/ t ens t act ivit ies are offered to the client and
family. The nurses partner with various experts to provide high-quality and cost-
effective care. One expert partnership that nurses can make is with the client's
family. The client and family are the health care decision makers.
Question format: Multiple Select
Chapter 2: Family-Centered
Community-Based CareCognitive
Level: Understand
Client Needs: Health Promotion and Maintenance
Integrated Process:
Teaching/Learning
Reference: p. 63
Maternity and
Pediatric Nursing
4th Edition By Ricci
Kyle Carman
Chapter 1
• The nurse is preparing the discharge plan for a woman whose newborn
requires ventilatory support at home. Which action by the nurse would be most
appropriate to do when assuming therole of discharge planner?
A. Confer with the client's parents.
B. Teach new self-care skills to the client.
C. Determine if there is a need for back-up power.
D. Discuss coverage with the insurance company.
Answer: C
Rationale: The nurse should establish if there is a need for back-up power during
discharge planning. Conferring with a woman's parents and dealing with insurance
companies are case management activities. Teaching self-care skills are activities
assaobcirbia.ctoemd/tewstith the nurse as an educator.
Question format: Multiple Choice
Chapter 2: Family-Centered
Community-Based CareCognitive
Level: Apply
, Client Needs: Safe, Effective Care Environment:
Management of CareIntegrated Process: Nursing
Process
Reference: p. 71
• A nurse working in the community is involved in providing primary
prevention. Whichintervention would be most appropriate to
implement?kj
A. teaching parents of toddlers about ways to prevent poisoning
B. working with women who are victims of domestic violence
C. working with clients at an HIV clinic to provide nutritional and CAM therapies
D. teaching hypertensive clients to
monitor blood pressure
Answer: A
Rationale: Primary prevention involves preventing a disease or condition
before it occurs, such as teaching parents of toddlers about poisoning
prevention. Working with women who are
victims of domestic violence, clients at an HIV clinic, or hypertensive clients are
all examples of tertiary prevention, which is designed to reduce or limit the prograeb si r
bs .icoon
m /o
t efs ta disease or condition. Question format: Multiple Choice
Chapter 2: Family-Centered
Community-Based CareCognitive
Level: Remember
Client Needs: Health Promotion
and MaintenanceIntegrated
Process: Teaching/Learning
Reference: p. 71-72
• A nurse is preparing an in-service program for a group of newly hired
nurses about trends in care for pregnant women. When describing events of the
past decade, the nurse would state that the average length of stay in the hospital
for vaginal births is:
A. 24 to 48 hours or less.
B. 72 to 96 hours or less.
C. 48 to 72 hours or less.
D. 96 to 120 hours or less.
Answer: A
Rationale: Hospital stays for vaginal births have averaged 24 to 48 hours or less
during the past decade and 72 to 96 hours or less for cesarean births.
,Question format: Multiple Choice
Chapter 2: Family-Centered
Community-Based CareCognitive
Level: Understand
Client Needs: Health Promotion
and MaintenanceIntegrated
Process: Teaching/Learning
Reference: p. 85
• A nurse is teaching a local women's group about women's health care and
changes that have occurred. When describing women's health care today, which s t aat
be i m
r b . ec onmt / w
t e sot uld the nurse likely include?
A. Women spend 50 cents of every dollar spent on health care.
B. Women make almost 80% of all health care decisions.
C. Women are still the minority in the United States.
D. Men use more health services than women.
Answer: B
Rationale: Women make almost 80% of all health care decisions (those related
to caregiver, mother, client); they represent the majority of the population; t heayb i rsbp.
ceonmd/ t e6s 6
t cents of every health care dollar; and they use more health services
than men, with 7 of every 10 most frequently performed surgeries being specific
to women.
Question format: Multiple Choice
Chapter 2: Family-Centered Community-Based Care
Cognitive Level: Understand
Client Needs: Health Promotion
and MaintenanceIntegrated
Process: Teaching/Learning
Reference: p. 87
• A nurse is educating a client about a care plan. Which question would
be appropriate toassess whether the client is learning?
A. "Did you graduate from high school, and how many years of schooling did you
have?"
B. "Do you have someone in your family who would understand this information?"
C. "Many people have trouble remembering information; is this a problem for you?"
D. Would you prefer that the primary care provider give you mo raeb i rdb e.
ctoami l/ tee d
s t medical information?"
Answer: C
, Rationale: It is appropriate to ask the client if the client will have trouble
remembering the information. Many clients have this problem. It removes any
judgment or stereotypes regarding education level, ability to understand, or learning
skills. Avoid giavbiirnb.gcoimn/fteosrtmation that uses a lotof medical language or
jargon, and use a simple, conversational style.
Question format: Multiple Choice
Chapter 2: Family-Centered
Community-Based CareCognitive
Level: Apply
Client Needs: Safe, Effective Care Environment:
Management of CareIntegrated Process:
Teaching/Learning
Reference: p. 69-70
• A nurse is working at a community prenatal drop-in clinic. Which
actions best reflect theprinciples of family nursing within this clinic? Select
all that appalyb i.rb
A. The clients and their families are assessed for adherence to federal health guidelines.
B. Health promotion education activities are planned for the clients and their families.
C. The clients and their families are included in all decision-making collaborations.
D.
The nurse would seek other health care provider input to planacbairbre. c.om
E. The client is viewed as the ultimate decision maker.
Answer: B, C, D
Rationale: When implementing family-centered care, nurses seek other
caregiver input. These suggestions and advice are incorporated into the client's
plan of care as the nurse counsels and teaches the family appropriate health care
interventions. Health parboi r m
b . coo tmio
/ t ens t act ivit ies are offered to the client and
family. The nurses partner with various experts to provide high-quality and cost-
effective care. One expert partnership that nurses can make is with the client's
family. The client and family are the health care decision makers.
Question format: Multiple Select
Chapter 2: Family-Centered
Community-Based CareCognitive
Level: Understand
Client Needs: Health Promotion and Maintenance
Integrated Process:
Teaching/Learning
Reference: p. 63
