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Test Bank For Introduction to Maternity and Pediatric Nursi
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1. The6United6States6ranks650th6in6the6world6for6maternal6mortality6and641st6among6industrialize
d6nations6for6infant6mortality6rate.6When6developing6programs6to6assist6in6decreasing6these6rates,6
which6factor6would6most6likely6need6to6be6addressed6as6having6the6greatest6impact?
A) Resolving6all6language6and6cultural6differences
B) Assuring6early6and6adequate6prenatal6care
C) Providing6more6extensive6women’s6shelters
D) Encouraging6all6women6to6eat6a6balanced6diet
2. When6integrating6the6principles6of6family-
centered6care,6the6nurse6would6include6which6of6the6following?
A) Childbirth6is6viewed6as6a6procedural6event
B) Families6are6unable6to6make6informed6choices
C) Childbirth6results6in6changes6in6relationships
D) Families6require6little6information6to6make6appropriate6decisions
3. When6preparing6a6teaching6plan6for6a6group6of6first-
time6pregnant6women,6the6nurse6expects6to6review6how6maternity6care6has6changed6over6the6years
.6Which6of6the6following6would6the6nurse6include6when6discussing6events6of6the620th6century?
A) Epidemics6of6puerperal6fever
B) Performance6of6the6first6cesarean6birth
C) Development6of6the6x-ray6to6assess6pelvic6size
D) Creation6of6free-standing6birth6centers
4. After6teaching6a6group6of6students6about6pregnancy-
related6mortality,6the6instructor6determines6that6additional6teaching6is6needed6when6the6students6id
entify6which6condition6as6a6leading6cause?
A) Hemorrhage
B) Embolism
C) Obstructed6labor
D) Infection
5. The6nurse6is6working6with6a6group6of6community6health6members6to6develop6a6plan6to6address6
the6special6health6needs6of6women.6Which6of6the6following6conditions6would6the6group6address6
as6the6major6problem?
A) Smoking
B) Heart6disease
C) Diabetes
D) Cancer
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6. When6assessing6a6family6for6possible6barriers6to6health6care,6the6nurse6would6consider6which6
factor6to6be6most6important?
A) Language
B) Health6care6workers’6attitudes
C) Transportation
D) Finances
7. After6teaching6a6group6of6nursing6students6about6the6issue6of6informed6consent.6Which6of6the
6following,6if6identified6by6the6student,6would6indicate6an6understanding6of6a6violation6of6infor
med6consent?
A) Performing6a6procedure6on6a615-year-old6without6consent
B) Serving6as6a6witness6to6the6signature6process
C) Asking6whether6the6client6understands6what6she6is6signing
D) Getting6verbal6consent6over6the6phone6for6emergency6procedures
8. The6nurse6is6trying6to6get6consent6to6care6for6an611-year-
old6boy6with6diabetic6ketoacidosis.6His6parents6are6out6of6town6on6vacation,6and6the6child6is6sta
ying6with6a6neighbor.6Which6action6would6be6the6priority?
A) Getting6telephone6consent6with6two6people6listening6to6the6verbal6consent
B) Providing6emergency6care6without6parental6consent
C) Contacting6the6child’s6aunt6or6uncle6to6obtain6their6consent
D) Advocating6for6termination6of6parental6rights6for6this6situation
9. After6teaching6nursing6students6about6the6basic6concepts6of6family-
centered6care,6the6instructor6determines6that6the6teaching6was6successful6when6the6students6state6
which6of6the6following?
A) ―Childbirth6affects6the6entire6family,6and6relationships6will6change.‖
B) ―Families6are6not6capable6of6making6health6care6decisions6for6themselves.‖
C) ―Mothers6are6the6family6members6affected6by6childbirth.‖
D) ―Childbirth6is6a6medical6procedure.‖
10. A6nursing6instructor6is6preparing6a6class6discussion6on6the6trends6in6health6care6and6health6
care6delivery6over6the6past6several6centuries.6When6discussing6the6changes6during6the6past6ce
ntury,6which6of6the6following6would6the6instructor6be6least6likely6to6include?
A) Disease6prevention
B) Health6promotion
C) Wellness
D) Analysis6of6morbidity6and6mortality
11. A6nurse6is6assigned6to6care6for6an6Asian6American6client.6The6nurse6develops6a6plan6of6care6
with6the6understanding6that6based6on6this6client’s6cultural6background,6the6client6most6likely6vi
ews6illness6as6which6of6the6following?
A) Caused6by6supernatural6forces.
B) A6punishment6for6sins.
C) Due6to6spirits6or6demons.
D) From6an6imbalance6of6yin6and6yang
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12. A6nurse6is6developing6a6plan6of6care6for6a6woman6to6ensure6continuity6of6care6during6pregna
ncy,6labor,6and6childbirth.6Which6of6the6following6would6be6most6important6for6the6nurse6to6inc
orporate6into6that6plan?
A) Adhering6to6strict,6specific6routines
B) Involving6a6pediatric6physician
C) Educating6the6client6about6the6importance6of6a6support6person
D) Assigning6several6nurses6as6a6support6team
13. A6nursing6instructor6is6preparing6a6class6discussion6on6case6management6in6maternal6and6n
ewborn6health6care.6Which6of6the6following6would6the6instructor6include6as6a6key6component?6
Select6all6that6apply.
A) Advocacy
B) Coordination
C) Communication
D) Resource6management
E) Event6managed6care
14. After6teaching6a6group6of6students6about6the6concept6of6maternal6mortality,6the6instructor6
determines6that6additional6teaching6is6needed6when6the6students6state6which6of6the6following?
A) ―The6rate6includes6accidental6causes6for6deaths.‖
B) ―It6addresses6pregnancy-related6causes.‖
C) ―The6duration6of6the6pregnancy6is6not6a6concern.‖
D) ―The6time6frame6is6typically6for6a6specified6 year.‖
15. A6group6of6students6are6reviewing6the6historical6aspects6about6childbirth.6The6students6de
monstrate6understanding6of6the6information6when6they6identify6the6use6of6twilight6sleep6as6a6ke
y6event6during6which6time6frame?
A)61700s
B)61800s
C)61900s
D)62000s
16. A6nurse6is6providing6care6to6a6woman6who6has6just6delivered6a6healthy6newborn.6Which6
action6would6least6likely6demonstrate6application6of6the6concept6of6family-centered6care?
A) Focusing6on6the6birth6as6a6normal6healthy6event6for6the6family
B) Creating6opportunities6for6the6family6to6make6informed6decisions
C) Encouraging6the6woman6to6keep6her6other6children6at6home
D) Fostering6a6sense6of6respect6for6the6mother6and6the6family
17. When6discussing6fetal6mortality6with6a6group6of6students,6a6nurse6addresses6maternal6factors.6
Which6of6the6following6would6the6nurse6most6likely6include?6Select6all6that6apply.
A) Chromosomal6abnormalities
B) Malnutrition
C) Preterm6cervical6dilation
D) Underlying6disease6condition
E) Poor6placental6attachment
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18. A6nurse6is6preparing6a6presentation6for6a6local6community6group6about6health6status6and6chil
dren’s6health.6Which6of6the6following6would6the6nurse6include6as6one6of6the6most6significant6me
asures?
A) Fetal6mortality6rate
B) Neonatal6mortality6rate
C) Infant6mortality6rate
D) Maternal6mortality6rate
19. A6group6of6students6are6reviewing6an6article6describing6information6related6to6indicators6for
6women’s6health6and6the6results6of6a6national6study.6Which6of6the6following6would6the6students6
identify6as6being6satisfactory6for6women?6Select6all6that6apply.
A) Smoking6cessation
B) Colorectal6cancer6screening
C) Violence6against6women
D) Health6insurance6coverage
E) Mammograms
20. A6nurse6is6preparing6a6presentation6for6a6local6women’s6group6about6heart6disease6and6wom
en.6Which6of6the6following6would6the6nurse6expect6to6address6when6discussing6measures6to6pro
mote6health.
A) Women6have6similar6symptoms6as6men6for6a6heart6attack.
B) Heart6disease6is6no6longer6viewed6as6a6―man’s6disease.‖
C) Women6experiencing6a6heart6attack6are6at6greater6risk6for6dying.
D) Heart6attacks6in6women6are6more6easily6diagnosed.
21. A6nurse6is6working6to6develop6a6health6education6program6for6a6local6community6to6address6
breast6cancer6awareness.6Which6of6the6following6would6the6nurse6expect6to6include6when6descr
ibing6this6problem6to6the6group?6Select6all6that6apply.
A) White6women6have6higher6rates6of6breast6cancer6than6African6American6women.
B) African6American6women6are6more6likely6to6die6from6breast6cancer6at6any6age.
C) Survival6at6any6stage6is6worse6among6white6women.
D) Women6living6in6South6America6have6the6highest6rates6of6breast6cancer.
E) Breast6cancer6is6the6leading6cause6of6cancer6mortality6in6women.
22. A6group6of6nursing6students6are6reviewing6information6about6factors6affecting6maternal,6new
born,6and6women’s6health.6The6students6demonstrate6understanding6of6the6information6when6they
6identify6which6of6the6following6deficiencies6as6being6associated6with6poverty? 6Select6all6that6appl
y.
A) Literacy
B) Employment6opportunities
C) Mobility
D) Political6representation
E) Skills