Test Bank Maternity and Pediatric Nursing 3rd Edition By Susan Ricci, Theresa Kyle, and Susan Carman

Test Bank Maternity and Pediatric Nursing 3rd Edition By Susan Ricci, Theresa Kyle, and Susan Carman Contents Chapter 1- Perspectives on Maternal, Newborn, and Women’s Health Care 4 Chapter 2- Family-Centered Community-Based Care 9 Chapter 3- Anatomy and Physiology of the Reproductive System 14 Chapter 4- Common Reproductive Issues 19 Chapter 5- Sexually Transmitted Infections 24 Chapter 6- Disorders of the Breasts 29 Chapter 7- Benign Disorders of the Female Reproductive Tract 34 Chapter 8- Cancers of the Female Reproductive Tract 39 Chapter 9- Violence and Abuse 44 Chapter 10- Fetal Development and Genetics 49 Chapter 11- Maternal Adaptation During Pregnancy 54 Chapter 12- Nursing Management During Pregnancy 60 Chapter 13- Labor and Birth Process 66 Chapter 14- Nursing Management During Labor and Birth 72 Chapter 15- Postpartum Adaptations 78 Chapter 16- Nursing Management During the Postpartum Period 84 Chapter 17- Newborn Transitioning 90 Chapter 18- Nursing Management of the Newborn 96 Chapter 19- Nursing Management of Pregnancy at Risk- Pregnancy 102 Chapter 20- Nursing Management of the Pregnancy at Risk 108 Chapter 21- Nursing Management of Labor and Birth at Risk 114 Chapter 22- Nursing Management of the Postpartum Woman at Risk 120 Chapter 23- Nursing Care of the Newborn With Special Needs 126 Chapter 24- Nursing Management of the Newborn at Risk 132 Chapter 25- Growth and Development of the Newborn and Infant 138 Chapter 26- Growth and Development of the Toddler 144 Chapter 27- Growth and Development of the Preschooler 150 Chapter 28- Growth and Development of the School-Age Child 157 Chapter 29- Growth and Development of the Adolescent 164 Chapter 30- Atraumatic Care of Children and Families 171 Chapter 31- Health Supervision 176 Chapter 32- Health Assessment of Children 183 Chapter 33- Caring for Children in Diverse Settings 190 Chapter 34- Caring for the Special Needs Child 197 Chapter 35- Key Pediatric Nursing Interventions 203 Chapter 36- Pain Management in Children 210 Chapter 37- Nursing Care of the Child With an Infectious or Communicable Disorder 217 Chapter 38- Nursing Care of the Child With an Alteration in Intracranial Regulation / Neurologic Disorder 224 Chapter 39- Nursing Care of the Child With an Alteration in Sensory Perception / Disorder of the Eyes or Ears 231 Chapter 40- Nursing Care of the Child With an Alteration in Gas Exchange / Respiratory Disorder 238 Chapter 41- Nursing Care of the Child With an Alteration in Perfusion / Cardiovascular Disorder 244 Chapter 42- Nursing Care of the Child With an Alteration in Bowel Elimination / Gastrointestinal Disorder 250 Chapter 43- Nursing Care of the Child With an Alteration in Urinary Elimination / Genitourinary Disorder 257 Chapter 44- Nursing Care of the Child With an Alteration in Mobility / Neuromuscular or Musculoskeletal Disorder ...................................................................................................................................................................................264 Extra Questions: Musculoskeletal Disorder 270 Chapter 45- Nursing Care of the Child With an Alteration in Tissue Integrity / Integumentary Disorder 277 Chapter 46- Nursing Care of the Child With an Alteration in Cellular Regulation / Hematologic or Neoplastic Disorder 283 Extra Questions: Neoplastic Disorder 290 Chapter 47- Nursing Care of the Child With an Alteration in Immunity or Immunologic Disorder 296 Chapter 48- Nursing Care of the Child With an Alteration in Metabolism / Endocrine Disorder 303 Chapter 49- Nursing Care of the Child With an Alteration in Genetics 310 Chapter 50- Nursing Care of the Child With an Alteration in Behavior, Cognition, or Development 317 Chapter 51- Nursing Care During a Pediatric Emergency 324 Chapter 1- Perspectives on Maternal, Newborn, and Women’s Health Care 1. The United States ranks 50th in the world for maternal mortality and 41st among industrialized nations for infant mortality rate. When developing programs to assist in decreasing these rates, which factor would most likely need to be addressed as having the greatest impact? A) Resolving all language and cultural differences B) Assuring early and adequate prenatal care C) Providing more extensive women’s shelters D) Encouraging all women to eat a balanced diet 2. When integrating the principles of family-centered care, the nurse would include which of the following? A) Childbirth is viewed as a procedural event B) Families are unable to make informed choices C) Childbirth results in changes in relationships D) Families require little information to make appropriate decisions 3. When preparing a teaching plan for a group of first-time pregnant women, the nurse expects to review how maternity care has changed over the years. Which of the following would the nurse include when discussing events of the 20th century? A) Epidemics of puerperal fever B) Performance of the first cesarean birth C) Development of the x-ray to assess pelvic size D) Creation of free-standing birth centers 4. After teaching a group of students about pregnancy-related mortality, the instructor determines that additional teaching is needed when the students identify which condition as a leading cause? A) Hemorrhage B) Embolism C) Obstructed labor D) Infection 5. The nurse is working with a group of community health members to develop a plan to address the special health needs of women. Which of the following conditions would the group address as the major problem? A) Smoking B) Heart disease C) Diabetes D) Cancer 6. When assessing a family for possible barriers to health care, the nurse would consider which factor to be most important? A) Language B) Health care workers’ attitudes C) Transportation D) Finances 7. After teaching a group of nursing students about the issue of informed consent. Which of the following, if identified by the student, would indicate an understanding of a violation of informed consent? A) Performing a procedure on a 15-year-old without consent B) Serving as a witness to the signature process C) Asking whether the client understands what she is signing D) Getting verbal consent over the phone for emergency procedures 8. The nurse is trying to get consent to care for an 11-year-old boy with diabetic ketoacidosis. His parents are out of town on vacation, and the child is staying with a neighbor. Which action would be the priority? 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) Advocating for termination of parental rights for this situation 9. After teaching nursing students about the basic concepts of family-centered care, the instructor determines that the teaching was successful when the students state which of the following? A) “Childbirth affects the entire family, and relationships will change.” B) “Families are not capable of making health care decisions for themselves.” C) “Mothers are the family members affected by childbirth.” D) “Childbirth is a medical procedure.” 10. A nursing instructor is preparing a class discussion on the trends in health care and health care delivery over the past several centuries. When discussing the changes during the past century, which of the following would the instructor be least likely to include? A) Disease prevention B) Health promotion C) Wellness D) Analysis of morbidity and mortality 11. A nurse is assigned to care for an Asian American client. The nurse develops a plan of care with the understanding that based on this client’s cultural background, the client most likely views illness as which of the following? A) Caused by supernatural forces. B) A punishment for sins. C) Due to spirits or demons. D) From an imbalance of yin and yang 12. A nurse is developing a plan of care for a woman to ensure continuity of care during pregnancy, labor, and childbirth. Which of the following would be most important for the nurse to incorporate into that plan? A) Adhering to strict, specific routines B) Involving a pediatric physician C) Educating the client about the importance of a support person D) Assigning several nurses as a support team 13. A nursing instructor is preparing a class discussion on case management in maternal and newborn health care. Which of the following would the instructor include as a key component? Select all that apply. A) Advocacy B) Coordination C) Communication D) Resource management E) Event managed care 14. After teaching a group of students about the concept of maternal mortality, the instructor determines that additional teaching is needed when the students state which of the following? A) “The rate includes accidental causes for deaths.” B) “It addresses pregnancy-related causes.” C) “The duration of the pregnancy is not a concern.” D) “The time frame is typically for a specified year.” 15. A group of students are reviewing the historical aspects about childbirth. The students demonstrate understanding of the information when they identify the use of twilight sleep as a key event during which time frame? A) 1700s B) 1800s C) 1900s D) 2000s 16. A nurse is providing care to a woman who has just delivered a healthy newborn. Which action would least likely demonstrate application of the concept of family-centered care? A) Focusing on the birth as a normal healthy event for the family B) Creating opportunities for the family to make informed decisions C) Encouraging the woman to keep her other children at home D) Fostering a sense of respect for the mother and the family 17. When discussing fetal mortality with a group of students, a nurse addresses maternal factors. Which of the following would the nurse most likely include? Select all that apply. A) Chromosomal abnormalities B) Malnutrition C) Preterm cervical dilation D) Underlying disease condition E) Poor placental attachment 18. A nurse is preparing a presentation for a local community group about health status and children’s health. Which of the following would the nurse include as one of the most significant measures? A) Fetal mortality rate B) Neonatal mortality rate C) Infant mortality rate D) Maternal mortality rate 19. A group of students are reviewing an article describing information related to indicators for women’s health and the results of a national study. Which of the following would the students identify as being satisfactory for women? Select all that apply. A) Smoking cessation B) Colorectal cancer screening C) Violence against women D) Health insurance coverage E) Mammograms 20. A nurse is preparing a presentation for a local women’s group about heart disease and women. Which of the following would the nurse expect to address when discussing measures to promote health. A) Women have similar symptoms as men for a heart attack. B) Heart disease is no longer viewed as a “man’s disease.” C) Women experiencing a heart attack are at greater risk for dying. D) Heart attacks in women are more easily diagnosed. 21. A nurse is working to develop a health education program for a local community to address breast cancer awareness. Which of the following would the nurse expect to include when describing this problem to the group? Select all that apply. A) White women have higher rates of breast cancer than African American women. B) African American women are more likely to die from breast cancer at any age. C) Survival at any stage is worse among white women. D) Women living in South America have the highest rates of breast cancer. E) Breast cancer is the leading cause of cancer mortality in women. 22. A group of nursing students are reviewing information about factors affecting maternal, newborn, and women’s health. The students demonstrate understanding of the information when they identify which of the following deficiencies as being associated with poverty? Select all that apply. A) Literacy B) Employment opportunities C) Mobility D) Political representation E) Skills Answer Key 1. B 2. C 3. D 4. B 5. B 6. D 7. A 8. A 9. A 10. D 11. D 12. C 13. A, B, C, D 14. A 15. C 16. C 17. B, C, D 18. C 19. B, E 20. C 21. A, B 22. A, B, C, D, E Chapter 2- Family-Centered Community-Based Care 1. The nurse is caring for a 2-week-old newborn girl with a metabolic disorder. Which of the following activities would deviate from the characteristics of family-centered care? A) Softening unpleasant information or prognoses B) Evaluating and changing the nursing plan of care C) Collaborating with the child and family as equals D) Showing respect for the family’s beliefs and wishes 2. The nurse is providing home care for a 6-year-old girl with multiple medical challenges. Which of the following activities would be considered the tertiary level of prevention? A) Arranging for a physical therapy session B) Teaching parents to administer albuterol C) Reminding parent to give a full course of antibiotics D) Giving a DTaP vaccination at the proper interval 3. A nursing student is reviewing information about documenting client care and education in the medical record and the purposes that it serves. The student demonstrates a need for additional study when the nurse identifies which of the following as a reason? A) Serves as a communication tool for the interdisciplinary team. B) Demonstrates education the family has received if legal matters arise. C) Permits others access to allow refusal of medical insurance coverage. D) Verifies meeting client education standards set by the Joint Commission. 4. A pregnant client tells her nurse that she is interested in arranging a home birth. After educating the client on the advantages and disadvantages, which statement would indicate that the client understood the information? A) “I like having the privacy, but it might be too expensive for me to set up in my home.” B) “I want to have more control, but I am concerned if an emergency would arise.” C) “It is safer because I will have a midwife.” D) “The midwife is trained to resolve any emergency, and she can bring any pain meds.” 5. The nurse is making a home visit to a client who had a cesarean birth 3 days ago. Assessment reveals that the client is complaining of intermittent pain, rating it as 8 on a scale of 1 to 10. She states, “I’m pretty tired. And with this pain, I haven’t been drinking and eating like I should. The medication helps a bit but not much. My mom has been helping with the baby.” Her incision is clean, dry, and intact. Which nursing diagnosis would the nurse identify as the priority for this client? A) Impaired skin integrity related to cesarean birth incision B) Fatigue related to effects of surgery and caretaking activities C) Imbalanced nutrition, less than body requirements related to poor fluid and food intake D) Acute pain related to incision and cesarean birth 6. When caring for childbearing families from cultures different from one’s own, which of the following must be accomplished first? A) Adapt to the practices of the family’s culture B) Determine tsimilarities tbetween tboth tcultures C) Assess tpersonal tfeelings tabout tthat tculture D) Learn tas tmuch tas tpossible tabout tthat tculture 7. After tteaching ta tgroup tof tstudents tabout tthe tchanges tin thealth tcare tdelivery tand tfunding, twhich tof tthe tfollowing, tif tidentified tby tthe tgroup tas ta tcurrent ttrend tseen tin tthe tmaternal tand tchild thealth tcare tsettings, twould tindicate tthat tthe tteaching twas tsuccessful? A) Increase tin tcommunity tsettings tfor tcare B) Decrease tin tfamily tpoverty tlevel C) Increase tin thospitalization tof tchildren D) Decrease tin tmanaged tcare 8. The tnurse twould trecommend tthe tuse tof twhich tsupplement tas ta tprimary tprevention tstrategy tto tprevent tneural ttube tdefects twith tpregnant twomen? A) Calcium B) Folic tacid C) Vitamin tC D) Iron 9. Which taction twould tthe tnurse tinclude tin ta tprimary tprevention tprogram tin tthe tcommunity tto thelp treduce tthe tincidence tof tHIV tinfection? A) Provide ttreatment tfor tclients twho ttest tpositive tfor tHIV B) Monitor tviral tload tcounts tperiodically C) Educate tclients tin thow tto tpractice tsafe tsex D) Offer ttesting tfor tclients twho tpractice tunsafe tsex 10. When tassuming tthe trole tof tdischarge tplanner tfor ta twoman trequiring tventilator tsupport tat thome, tthe tnurse twould tdo twhich tof tthe tfollowing? A) Confer twith tthe tclient’s tmother B) Teach tnew tself-care tskills tto tthe tclient C) Determine tif tthere tis ta tneed tfor tback-up tpower D) Discuss tcoverage twith tthe tinsurance tcompany 11. When tcomparing tcommunity-based tnursing twith tnursing tin tthe tacute tcare tsetting tto ta tgroup tof tnursing tstudents, tthe tnurse tdescribes tthe tchallenges tassociated twith tcommunity-based tnursing. tWhich tof tthe tfollowing twould tthe tnurse tinclude? A) Increased ttime tavailable tfor teducation B) Improved taccess tto tresources C) Decision tmaking tin tisolation D) Greater tenvironmental tstructure 12. After tteaching ta tgroup tof tstudents tabout tthe tdifferent tlevels tof tprevention, tthe tinstructor tdetermines ta tneed tfor tadditional tteaching twhen tthe tstudents tidentify twhich tof tthe tfollowing tas ta tsecondary tprevention tlevel tactivity tin tcommunity-based thealth tcare? A) Teaching twomen tto ttake tfolic tacid tsupplements tto tprevent tneural ttube tdefects B) Working twith twomen twho tare tvictims tof tdomestic tviolence C) Working twith tclients tat tan tHIV tclinic tto tprovide tnutritional tand tCAM ttherapies D) Teaching thypertensive tclients tto tmonitor tblood tpressure 13. A tnursing tinstructor tis tdescribing ttrends tin tmaternal tand tnewborn thealth tcare. tThe tinstructor taddresses tthe tlength tof tstay tfor tvaginal tbirths tduring tthe tpast tdecade, tciting tthat twhich tof tthe tfollowing tdenotes tthe taverage tstay? A) 24–48 thours tor tless B) 72–96 thours tor tless C) 48–72 thours tor tless D) 96–120 thours tor tless 14. Which tof tthe tfollowing tstatements tis taccurate tregarding twomen’s thealth tcare tin ttoday’s tsystem? A) tWomen tspend t95 tcents tof tevery tdollar tspent ton thealth tcare. tB) tWomen tmake talmost t90% tof tall thealth tcare tdecisions. C) tWomen tare tstill tthe tminority tin tthe tUnited tStates. tD) tMen tuse tmore thealth tservices tthan twomen. 15. A tnurse tis teducating ta tclient tabout ta tcare tplan. tWhich tof tthe tfollowing tstatements twould tbe tappropriate tto tassess tthe tclient’s tlearning tability? A) “Did tyou tgraduate tfrom thigh tschool; thow tmany tyears tof tschooling tdid tyou thave?” B) “Do tyou thave tsomeone tin tyour tfamily twho twould tunderstand tthis tinformation?” tC) t“Many tpeople thave ttrouble tremembering tinformation; tis tthis ta tproblem tfor tyou?” tD) t“Would tyou tprefer tthat tthe tdoctor tgive tyou tmore tdetailed tmedical tinformation?” 16. A tnurse tis tdeveloping tcultural tcompetence. tWhich tof tthe tfollowing tindicates tthat tthe tnurse tis tin tthe tprocess tof tdeveloping tcultural tknowledge? tSelect tall tthat tapply. A) Examining tpersonal tsociocultural theritage B) Reviewing tpersonal tbiases tand tprejudices C) Seeking tresources tto tfurther tunderstanding tof tother tcultures D) Becoming tfamiliar twith tother tculturally tdiverse tlifestyles E) Performing ta tcompetent tcultural tassessment F) Advocating tfor tsocial tjustice tto teliminate tdisparities. 17. A tnurse tis tengaged tin tproviding tfamily-centered tcare tfor ta twoman tand ther tfamily. tThe tnurse tis tproviding tinstrumental tsupport twith twhich tactivity? A) Explaining tto tthe twoman tand tfamily twhat tto texpect tduring tthe tbirth tprocess. B) Assisting tthe twoman tin tbreathing ttechniques tto tcope twith tlabor tcontractions. tC) tReinforcing tthe twoman’s trole tas ta tmother tafter tbirth D) tHelping tthe tfamily tobtain textra tfinancial thelp tfor tprescribed tphototherapy 18. A tnurse tis tconsidering ta tchange tin temployment tfrom tthe tacute tcare tsetting tto tcommunity- tbased tnursing. tThe tnurse tis tfocusing ther tjob tsearch ton tambulatory tcare tsettings. tWhich tof tthe tfollowing twould tthe tnurse tmost tlikely tfind tas ta tpossible tsetting? tSelect tall tthat tapply. A) Urgent tcare tcenter B) Hospice tcare C) Immunization tclinic D) Physician’s toffice tE) tDay tsurgery tcenter tF) tNursing thome 19. A tnursing tinstructor tis tpresenting ta tclass tfor ta tgroup tof tstudents tabout tcommunity-based tnursing tinterventions. tThe tinstructor tdetermines tthat tadditional tteaching tis tneeded twhen tthe tstudents tidentify twhich tof tthe tfollowing? A) Conducting tchildbirth teducation tclasses B) Counseling ta tpregnant tteen twith tanemia C) Consulting twith ta tparent tof ta tchild twho tis tvomiting D) Performing tepidemiologic tinvestigations 20. During tclass, ta tnursing tstudent tasks, t“I tread tan tarticle tthat twas ttalking tabout tintegrative tmedicine. tWhat tis tthat?” tWhich tresponse tby tthe tinstructor twould tbe tmost tappropriate? A) “It trefers tto tthe tuse tof tcomplementary tand talternative tmedicine tin tplace tof ttraditional ttherapies tfor ta tcondition.” B) “It tmeans tthat tcomplementary tand talternative tmedicine tis tused ttogether twith tconventional ttherapies tto treduce tpain tor tdiscomfort.” C) “It tmeans tthat tmainstream tmedical ttherapies tand tcomplementary tand talternative ttherapies tare tcombined tbased ton tscientific tevidence tfor tbeing teffective.” D) “It trefers tto tsituations twhen ta tclient tand this tor ther tfamily tprefer tto tuse tan tunproven tmethod tof ttreatment tover ta tproven tone.” 21. While ta tnurse tis tobtaining ta thealth thistory, tthe tclient ttells tthe tnurse tthat tshe tpractices taromatherapy. tThe tnurse tinterprets tthis tas twhich tof tthe tfollowing? A) Use tof tessential toils tto tstimulate tthe tsense tof tsmell tto tbalance tthe tmind tand tbody B) Application tof tpressure tto tspecific tpoints tto tallow tself-healing C) Use tof tdeep tmassage tof tareas ton tthe tfoot tor thand tto trebalance tbody tparts D) Participation tin tchanting tand tpraying tto tpromote thealing. 22. A tpregnant twoman tasks tthe tnurse tabout tgiving tbirth tin ta tbirthing tcenter. tShe tsays, t“I’m tthinking tabout tusing tone tbut tI’m tnot tsure.” tWhich tof tthe tfollowing twould tthe tnurse tneed tto tintegrate tinto tthe texplanation tabout tthis tbirth tsetting? t(Select tall tthat tapply.) A) An talternative tfor twomen twho tare tuncomfortable twith ta thome tbirth. B) The tlonger tlength tof tstay tneeded twhen tcompared tto thospital tbirths C) Focus ton tsupporting twomen tthrough tlabor tinstead tof tmanaging tlabor D) View tof tlabor tand tbirth tas ta tnormal tprocess trequiring tno tintervention E) Care tprovided tprimarily tby tobstetricians twith tmidwives tas tbackup tcare 23. A tnurse tpracticing tin tthe tcommunity tis tpreparing ta tpresentation tfor ta tgroup tof tnursing tstudents tabout tthis tpractice tsetting. tWhich tof tthe tfollowing twould tthe tnurse tinclude tas tcharacteristic tof tthis trole? A) Greater temphasis ton tdirect tphysical tcare B) Broader tassessment tto tinclude tthe tenvironment C) Increased tdependency ton tphysician D) Limited tdecision tmaking tand tsupport 24. A tnurse tis tpreparing ta tteaching tplan tfor ta twoman twho tis tpregnant tfor tthe tfirst ttime. tWhich tof tthe tfollowing twould tthe tnurse tincorporate tinto tthe tteaching tplan tto tfoster tthe tclient’s tlearning? (Select tall tthat tapply.) A) Teach t“survival tskills” tfirst B) Use tsimple, tnonmedical tlanguage C) Refrain tfrom tusing ta thands-on tapproach D) Avoid trepeating tinformation E) Use tvisual tmaterials tsuch tas tphotos tand tvideos 25. A tgroup tof tnurses tare treviewing tthe tsteps tfor tdeveloping tcultural tcompetence. tThe tstudents tdemonstrate tunderstanding twhen tthey tidentify twhich tof tthe tfollowing tas tthe tfinal tstep? A) Cultural tknowledge B) Cultural tskills C) Cultural tencounter D) Cultural tawareness Answer tKey 1. A 2. A 3. C 4. B 5. D 6. C 7. A 8. B 9. C 10. C 11. C 12. A 13. A 14. B 15. C 16. C, tD 17. D 18. A, tD, tE 19. D 20. C 21. A 22. A, tC, tD 23. B 24. A, tB, tE 25. C